Fastpitch America Softball Association

Umpire Registration Information:
• All fields marked with * are required
• Choose a unique username and secure password
• A valid email address is required for certification and communications
• Safety certification question must be answered
• Your information will be kept confidential and secure

Personal Information

First Name *

Last Name *

Email Address *

Address

City

State

ZIP Code

Contact Information

Home Phone

Cell Phone

Cell Phone Carrier

Safety Certification

Required Question: Have you completed or are you willing to complete safety training as required by FASA umpire certification?

Yes, I have completed or will complete safety training

No, I need more information about safety requirements

Account Credentials

Username *

Password *

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