2024 Association Dues & Credential Form

I hereby certify that I have not been convicted of a felony or any offense involving sexual molestation or physical or sexual abuse or rape of a child; and that I have not been convicted of a crime of moral turpitude (lying or stealing).

I hereby agree, to the fullest extent permitted by applicable law, to indemnify and hold harmless the jurisdictions, organizations, and institutions served by the association and our service assigning company and the members, managers, officers, and directors of such entities (collectively, the “Indemnified Partners”) from, against and for any losses, costs, expenses, claims, demands, suits, judgments and all other liabilities including attorney’s fees, expenses and court cost(s), to which the Indemnified Partners may be subject as a result of any false statement contained in this Certification.

COVID Vaccinations: Please note in order to umpire NCAA Conferences & High School jurisdictions will most likely require proof of vaccinations or personal costs for onsite testing.

Note: While signing this certification is not required to umpire, failing to do so may prevent being assigned to leagues or jurisdictions requiring assignors to assign officials that meet these criteria. This specific requirement is becoming more commonplace as contracts are renewed and agreed upon. A background check fee of $5.00 is mandatory for all umpires, including NEW and Life Members.