Independent Baseball
Umpires Association
Fair, Professional, Devoted To The Game

IBUA Membership Application

By Submitting this application for membership, you UNDERSTAND and AGREE to the following:
  • Incomplete online applications will not be accepted.
  • Application is not accepted until payment of a non-refundable application fee and first year dues of $75.00
  • Subsequent year's dues are $50.00 per year.
  • Check should be payable to:
      Independent Baseball Umpires Association
      223 Patricia Lane
      Aldan, PA 19018
  • Membership includes access to secure areas of the website, an email address and mailbox use.
  • Upon acceptance, you will be notified via email with website access instructions.
  • Acceptance for membership does not guarantee game assignments.
  • Only IBUA approved uniforms may be worn for IBUA game assignments
Please Complete ALL BLOCKS and use formats as indicated  (Incomplete applications will be rejected):

Last Name:
First Name:
MI: Optional
Street:
City:
ST: FORMAT: USPS Two Letter
Zip Code:
Home Phone: FORMAT: (###) ###-####
Cell Phone: FORMAT: (###) ###-####
Email: FORMAT: someone@emailserver.com
Shirt #: Preferred Uniform Number
Current & Prior Associations:
Three References:
 
Form fields will clear when accepted.  DO NOT RESUBMIT.  If you require a printed copy of this application, print it BEFORE clicking the Submit My Application button