Little League Official Player Registration Form printable pdf download

Palm Bay West Little League

Official Player Registration

PLAYER INFORMATION [

Baseball 

Softball 

PLEASE PRINT]

Player Name: _______________________________________ Birthdate: ___________________ Boy  Girl 

Address: _______________________________________________ City/Zip: ___________________________

Parent/Guardian: __________________________________________________ Home Phone: _____________________

Email: ___________________________________________________________ Cell Phone: _______________________

Parent/Guardian: __________________________________________________ Home Phone: _____________________

Email: ___________________________________________________________ Cell Phone: _______________________

CONSENT

I/we the parents/guardians of the above-named candidate for a

and that if any controversy arises regarding residence/school

position on a Little League team, hereby give my/our approval to

attendance and/or age, the decision of the Little League

participate in any and all Little League activities, including

International Charter Committee in Williamsport, Pennsylvania

transportation to and from the activities.

shall be final and binding. I/We further understand that if any

I/We know that participation in baseball or softball may result in

participant on a Little League team does not qualify for

serious injuries and protective equipment does not prevent all

participation in the league based on residence (as defined by Little

injuries to players, and do hereby waive, release, absolve,

League Baseball, Incorporated) and/or age, such participant

indemnify, and agree to hold harmless Palm Bay West Little

and/or team on which he/she participates be found ineligible, and

League, Little League Baseball, Incorporated, the organizers,

forfeit(s) and/or suspension of Tournament privileges may be

sponsors, supervisors, participants, and persons transporting

decreed by action of the Little League International Charter

my/our child to and from activities from any claim arising out of

Committee or Little League International Tournament Committee.

any injury to my/our child whether the result of negligence or for

I/We agree that our child (candidate) may be required to try out

any other cause.

for a team. If such does not attend at least 50 percent of the

I/We understand that parents are expected to perform service in

tryouts, local Board-of-Directors’ approval is required for such

the League’s concession stand for a minimum of two (2)

candidate to be placed on a team. For all-star eligibility candidates

scheduled shifts for each registered child during the season.

must attend at least 50 percent of the tryouts.

I/We agree to return upon request any equipment issued to

I/We understand that our child (candidate) may be chosen at any

my/our child in as good of condition as when received except for

time to play on a Major Division team, if he/she is of the correct

normal wear and tear.

age for such division as determined by the local league and Little

I/We agree to provide proof of legal residence or school

League Baseball. Declining to move up to such Major Division will

enrollment (as defined by Little League Baseball, Incorporated at

result in forfeiture of eligibility for the Major Division for the

) and age. I/We understand that our

current season, and may be subject to further restrictions by the

child (candidate) must be eligible under the residence/school

local league.

attendance and age regulations of Little League Baseball,

I/We will furnish a certified birth certificate of the above-named

Incorporated, to participate in this Local League,

candidate to League Officials.

Signature: __________________________________

Date: _________________________

FOR LEAGUE USE ONLY

[TO BE COMPLETED BY A BOARD MEMBER]

Spring 

Fall 

Registration Fee: $___________

LEAGUE AGE: ___________

Division: Tee Ball 

C/P 

Minor 

Major 

Junior 

Senior 

Misc: __________$____________

TOTAL DUE: $____________

Shirt Size:

AXL

A2XL

A3XL

TOTAL PAID: $____________

Primary Number: __________ Secondary Number: ___________ (SPRING ONLY)

CASH 

CHECK  #___________

CREDIT CARD 

BALANCE DUE: $____________

FORMS NEEDED:

Birth Cert: Y/N

3 Proofs of Res: Y/N

Medical Release: Y/N

Code of Conduct: Y/N

 LEAGUE VOLUNTEER

Model Release: Y/N

Volunteer Form: Y/N

Waivers needed: Y/N

Little League Official Player Registration Form

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