Fillable Little League Player Registration Form printable pdf download

Little League

Player Registration Form

Player Information

Player Name: ________________________________

Birthdate (mm/xx/yyyy): _______________________

Address: ____________________________________

Gender: Male

Female

Address 2 (if applicable): _______________________

League Age: ________

League Fee: ___________

City: _______________________________________ State: _____________

Zip Code: ____________________

Phone: _____________________________ Email: ____________________________________________________

My child will tryout for:

Baseball

Softball

Shirt Size: Youth - S M L XL Adult - S M L XL

Parent/Guardian Information

Parent/Guardian #1

Parent/Guardian #2

Name: _________________________________

Phone: _________________________________

Email: _________________________________

Occupation: _____________________________

Volunteer?

Yes

Volunteer?

Yes

If yes, fill out “Volunteer Application”

Medical Information

Emergency contact: ______________________

Insurance carrier: ________________________

Relationship to player: ____________________

Phone: _________________________________

: _________________________________

Policy

Terms and Conditions

(1)

I/We, the parents/guardians of the above-named candidate for a position on a Little League team, hereby give my/our approval to participate in any and all Little League activities, including

transportation to and from the activities.

(2)

I/We know that participation in baseball or softball may result in serious injuries and protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve,

indemnify, and agree to hold harmless the local Little League, Little League Baseball, Incorporated, the organizers, sponsors, supervisors, participants, and persons transporting my/our child to

and from activities from any claim arising out of any injury to my/our child whether the result of negligence or for any other cause.

(3)

If applicable, I/We agree to return upon request the uniform and other equipment issued to my/our child in as good conditions as when received except for normal wear and tear.

(4)

I/We agree to provide proof of legal residence or school enrollment (as defined by Little League Baseball, Incorporated at ) and age. I/We understand that our child

(candidate) must be eligible under the residence/school attendance and age regulations of Little League Baseball, Incorporated, to participate in this Local League, and that if any controversy

arises regarding residence/school attendance and/or age, the decision of the Little League International Charter Committee in Williamsport, Pennsylvania shall be final and binding. I/We

further understand that if any participant on a Little League team does not qualify for participation in the league based on residence (as defined by Little League Baseball, Incorporated) and/or

age, such participant and/or team on which he/she participates be found ineligible, and forfeit(s) and/or suspension of Tournament privileges may be decreed by action of the Little League

International Charter Committee or Little League International Tournament Committee.

(5)

I/We agree that our child (candidate) may be required to try out for a team. If such does not attend at least 50 percent of the tryouts, local Board-of -Directors' approval is required for such

candidate to be placed on a team.

(6)

If applicable, I/We understand that our child (candidate) may be chosen at any time to play on a Major Division team, if he or she is of the correct age for such division as determined by the

local league and Little League Baseball. Declining to move up to such Major Division team will result in forfeiture of eligibility for the Major Division for the current season, and may be subject

to further restrictions by the local league.

(7)

I/We will furnish a certified birth certificate of the above-named candidate to League Officials.

(8)

I/We understand that my information as the parent or guardian of such above-named candidate is sent by the local league to Little League International each year. Such use of information by

Little League International can be found here: You may opt-out of communications from Little League International at any time.

Signature: ____________________________________

Date: ___________________________

Internal Use Only:

Waiver Needed?

Yes

Birth Certificate:

Yes

Level Assigned: __________________

Medical Release Form

Yes

Team Name: ____________________