2009 South Texas Umpire Clinic
           Online Registration Form               

• Please fill out this form completely and return it with your non-refundable deposit (check/money order) in the amount of $75.00 for local  (total of $150) and $110.00 for out of town, if a room is required (total of $220) payable to South Texas Umpire Clinic.

• Late Registration: Any student who registers after Jan. 19th will be charged a Late Registration Service Fee of $10. Students who complete the registration form and have it postmarked on the 19th will not be charged the late fee. Be among the first to sign up and insure yourself a apot at the clinic. We are the most popular clinic in South Texas and spots fill up fast.

  We need your non-refundable deposit check within 10 days from the moment you submit your registration. This helps us determine availability for other students, order t-shirts by size, and make hotel arrangements.

  Balance of application and additional fees are Due at time of Check in.

• For mail in registrations, print this form and mail it to South Texas Umpire Clinic, 9407 Arbois, San Antonio, Tx, 78254.

Rates are subject to change, depending upon possible price changes by our suppliers. We are currently working on getting PayPal set up. In the mean time, please mail a check to reserve your seat.

Please send a check to:
South Texas Umpire Clinic
9407 Arbois
San Antonio, TX
78254

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First Name
Last Name

Street Address
Address (cont.)
City
State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code

Home Phone

Work Phone
Cell Phone
E-mail

Age

Height
Weight

Sex	Male Female

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T-shirt size (Small, Medium, Large, XL, XXL, or XXXL. There is an extra $3.00 charge for XXL and XXXL that is due at registration.)
Small Medium Large XL XXL XXXL

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Do you need a hotel room:
Yes No

What kind of room do you want (Please see the rates at the top):
*Preferred roommate may be requested below for Out of Town ONLY.
*Local application fees do not include a Hotel room .                                      

Standard Double
Private (Additional $70)
 

Roommate (Full Name)

Experience and Course Level:

What is your highest level of experience?

(Beginner, Youth, High School, Advanced, or College and above)

Course Level (Beginner or Advanced. Select advanced if you have previously attended STUC or a school taught by professional umpires and have 3 years high school or above experience.)

Beginner Advanced

How did you hear about us?
Referral Web League Official Flyer/Brochure

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How do you intend to pay? If you are using pay pal click this link after you submit your registration.
PayPal Check