MMUC Registration Form

MMUC Registration Form
Registration Date*

MonthDayYear
Date
Attendee Details:
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Highest level of baseball umpired:*
What level do you believe you can confidently work right now (example: 10u, HS, JUCO, D1):*
Returning MMUC Student (if yes, what year):*
Did you attend Bruce Doane’s Camp (GRUA.com) in 2025:*
What other umpire education have you attended and when (Name of organization + year attended):*
Do you plan on attending umpire education in 2026:*
Select Preference: Umpire Mask w/ Hat or Skullcap or Hockey-style Bucket:*
Undershirt/T-shirt Size (Not Uniform):*
Would you like to purchase additional t-shirts at MMUC—Limited Stock:*
Would you like to purchase a MMUC Hat:*
Hat Size:
Umpire Goals/Aspirations (MLB, MiLB, College, HS, Travel Tournaments, Local Tournaments, 18u, Brand New Umpire):*
How did you hear about us?*
Please Specify*
Ex. Jane Doe
Please review the terms and conditions under the 2026 Release for Participation in Event or Activity for the Mid-Michigan Umpire Clinic below. By signing the signiture block, you are agreeing to all terms and conditions and release of the Mid-Michigan Umpire Clinic of liability.
Name of Participant

First NameLast Name
Parent or Guardian (if Participant is a Minor)

First NameLast Name
Please Review the Umpire Clinic FAQ.
For More Information Contact:

Ken Jackson- Founder of MMUC

Cell: 248-760-0963

Email: midmichiganumpireclinic@yahoo.com
Payment options: Venmo & Zelle accepted.

October 1st-31st (Early Bird Special): $100

November 1st -- December 26th: $125

Payment Tags
Venmo: Kenny-Jackson-27

Zelle: Kenneth Jackson at 248-760-0963
Should be Empty: