2026 Umpire Clinic Application - March 28th (Clarington Baseball Association)

2026 Umpire Clinic Application - March 28th

First Name^*

Required

Last Name^*

Required

OBA Umpire Registration Number

If you haven't yet registered, please go to https://ondeck.baseballontario.com/baseball-ontario-ondeck/register and register yourself, which will give you an OBA umpire registration number. This number links to your certifications/courses.

Street Number & Name^*

Required

City^*

Required

Province^*

Required

Postal Code^*

Required

Primary Phone Number^*

Required

Example: ###-###-####

Secondary Phone Number

Example: ###-###-####

Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Certification Level^*

Required

(Current Level, Before Clinics This Coming Season/Year)

Years of Umpiring Experience^*

Required

Are You Willing To Commit To Umpiring An Average Of 2 Or More Games A Week?^*

YesNo

Required

Do You Have Full Umpire Equipment?^*

YesNo

Required

Chest protector, Jock/jill, Mask, Shin pads, Plate brush/counter. New Umpire Rebate Program: the CBA offers a rebate program to new umpires who are required to purchase equipment. Rebates up to $150 are available, (year 1 & 2) based on the purchases made, and the number of games worked in the season (e.g. $10 is 'earned' per game worked, to a max of $150 or the value of purchases, whichever is less). Parents: submit your receipts for equipment purchased for this rebate ASAP to [email protected]

Have You Reviewed And Are You Willing To Abide By The Code Of Conduct For Umpires?^*

YesNo

Required

PHOTO CONSENT

I authorize Clarington Baseball Association and/or its staff, associates, assistants, or subcontractors to use photograph(s), video and other media image provided for any Clarington Baseball Association promotional, educational or other pertinent uses. I also agree to Clarington Baseball Association using any images of the named minor(s) gathered by photographers, and or videographers supplying images to Clarington Baseball Association.
These images may include, but are not exclusive to, club, coach, athlete and/or parent, and/or volunteer submissions by various member associations of Clarington Baseball Association.

I authorize Clarington Baseball Association to permit the use and display of photographs and/or recordings of the named minors in any Clarington Baseball Association publication, multimedia production, including video and web usage, display, or advertisement.

I agree that Clarington Baseball Association may use name, likeness, or information supplied by the undersigned.

The registered umpire releases and forever discharges Clarington Baseball Association and its officers and employees from any and all claims and demands arising out of or in connection with the use of said photographs / recordings, including but not limited to, any claims for invasion of privacy or defamation.

I agree to the terms and conditions stated above^*

Certification Level^*

Required

Umpires must be level 1 for a minimum of two years, and level 2 for a minimum of three years (e.g. if you were a new umpire in 2025, you will take the Level 1 course in 2026)

If new to the CBA, please upload your a picture of your banking information.

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 1. Maximum File Size: 4MB.

Hand Written or Manually typed info is not accepted. Only official picture of account info from banking app; or a Direct Deposit form from your bank

Have you enrolled for the Clarington Umpire Clinic in the On Deck App?^*

YesNo

Required

If NO, please proceed to On Deck BEFORE completing this application...40 max per session