Toronto Cricket Umpires and Scorers Association
(Founded-1947 and Incorporated-2007)
Website: http://www.tcuandsa.com/Home.html
President: Mohan Samaroo 
Secretary: Nishit Patel
Tel: 1-905-435-0248 Tel: 416-319-6976
Email: psamaroo21@sympatico.ca Email: nishitpatel@rogers.com
Registration Renewal Form
Complete in Block Letters
Name: __________________________________________________________________________________________
Address: ________________________________________________________________________________________
City:________________________Province: ________________________Postal Code:________________________
Home Tel: ( ) ________________________________
Business Tel: ( ) ________________________________
Cellular No: ( ) ________________________________
Email Address ( ) ________________________________
________________________________________________________________________________________________
Umpiring Level Achieved Check (√)
CCA Level 3 ( )
CCA Level 2 ( )
CCA Level 1 ( )
Other Certificate(s) Achieved: ___________________________________________
Copy of Certificate(s) attached ( )
Scorers Level Achieved
Introductory: Yes ( ) No ( )
ACU&S - Standard: Yes ( ) No ( )
ACU&S - Intermediate: Yes ( ) No ( )
ACU&S - Advance: Yes ( ) No ( )
Other Certificate(s) Achieved: ___________________________________________
Copy of Certificate(s) attached ( )
________________________________________________________________________________________________
Number of years experience as an Umpire: In Canada ( ) Elsewhere ( ) ____________________________
Number of years experience as a Qualified Scorer: In Canada ( ) Elsewhere _____________________________
________________________________________________________________________________________________
Are you currently affiliated with any Cricket Club(s) in the T&DCA? Yes ( ) No ( )
Name of the Cricket Club(s) _______________________________________________________________________
In what capacity? (Playing member, official, etc.) _____________________________________________________
Days available to Umpire: _________________________________________________________________________
Transportation: TTC ( ) Drive own vehicle ( )
Membership fees enclosed by March 31st, 2008 Yes ( ) No ( )
________________________________________________________________________________________________
I undertake to learn all current MCC Laws (2000 code), Duckworth/Lewis Match Result Calculations and T&DCA League and all other Tournaments' Regulations and to abide by them.
I, the undersigned, hereby apply for membership in the Toronto Cricket Umpires and Scorers Association and I agree to release the Association and its Executive Officers from all liabilities pertaining to the Administration of Cricket, Cricket Umpiring and Scoring within the confines of the Association’s Constitution.
Signature: _________________________________________________ Date: _________________________
