Little League Baseball And Softball Tournament Player Verification

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LITTLE LEAGUE® BASEBALL AND SOFTBALL
Tournament Player Verification
Baseball
Softball
Date Requested __________________
League Name ______________________________________ League ID # ______________________________
Player Information and Documentation
Player Name _________________________________________ Date of Birth____________________
(Must be name as shown on the birth documentation)
Type of Age Proof
Board of Health/Registrar of Vital Statistics
Federal/Military
In-Lieu Statement
(necessary document from all four groups)
Residency Proof: (Choose 3)
Address of Parent or Legal Guardian
Street Address
City
State
Zip Code
Driver’s License
Local (Municipal) Records
Medical Records
Voter’s Registration
Support Payment Records
Military Records
School Records
Homeowner/Tenant Records
Internet, Cable or Satellite Records
Welfare/Child Care Records
Utility Bills
Vehicle Records
Federal Records
Financial Records
Employment Records
State Records
Insurance Documents
School Enrollment Proof: (Choose one)
School Address
Street Address
City
State
Zip Code
Official/Certified school enrollment record
School issued report card or performance report
A Little League issued school attendance form completed by the principal, assistant principal or superintendent
Existing Waiver:
II(D) Waiver
IV(h) Waiver
Charter Committee Waiver
All documentation must be attached to this form.
Verification
Parent or Legal Guardian Agreement: By my signature below, I certify that all the information provided for this Tournament Player Verification is true and
correct and provides the necessary documentation required by Little League to verify league/tournament age and residence/school attendance eligibility.
If the Charter/Tournament Committee subsequently finds that the information submitted as acceptable documentation regarding league/tournament age
and residence eligibility now shows that the previously submitted information/documentation was falsified, misrepresented or insufficient then Little League
Baseball, Incorporated reserves the right to impose sanctions and/or penalties on all appropriate parties, including but not limited to players, coaches,
league officials and/or the league which could result in suspension and/or terminations with Little League Baseball, Incorporated.
Name (Printed) of Parent/Guardian
Signature of Parent/Guardian
Date
League President’s Verification: I have reviewed and verified that the information presented here is true and correct and provides the necessary
documentation required by Little League to verify league/tournament age and residence/school attendance eligibility. If the Charter/Tournament Committee
subsequently finds that the information submitted as acceptable documentation regarding league/tournament age and residence eligibility now shows that
the previously submitted information/documentation was falsified, misrepresented or insufficient then Little League Baseball, Incorporated reserves the
right to impose sanctions and/or penalties on all appropriate parties, including but not limited to players, coaches, league officials and/or the league which
could result in suspensions and/or terminations with Little League Baseball, Incorporated.
Name (Printed) of League President
Signature of League President
Date
District Administrator’s Verification: I have reviewed the residency documentation and verified the players original birth certificate and the
information presented here is true and correct and, to the best of my knowledge appears to be acceptable under Little League standards.
Name (Print) of District Administrator
Signature of District Administrator
Date
NOTE: This form and attached original documentation must be retained by the player’s parent or legal guardian as well as a copy retained by the local league. It is
recommended that the District Administrator also maintain a copy.

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