 | | Peabody Western 2013 Baseball & Softball |
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| | | Player Registration Form |
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| 2013 FEES | PLEASE READ |
| T-Ball | $65.00 | ONLY APPROVED COMPOSITE BARREL BATS ARE ALLOWED AT ALL LEVELS OF LITTLE LEAGUE |
| 6/7 Year Old | $110.00 | PLEASE NOTE CODE OF CONDUCT BELOW |
| 8 and older | $140.00 | LEAGUE AGE DEFINED BY LITTLE LEAGUE INTERNATIONAL, NOT PWLL |
| Family Max. | $265.00 | Baseball League Age is as of 4/30/2013 | | | Softball League age as of 12/31/2012 | | |
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| Player Name | | | Birth Date | |
| Address | | Gender | |
| Adress 2 | | League | |
| City/State/Zip | | | | Age |
| Home Phone | | | | | |
| Email | | Fee |
| | | | | | | | | CHECK | CASH |
| | | | Level Played 2012 Season | | | |
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| Baseball | T-Ball | | | Coach Pitch | | | A | | |
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| | AA | | | AAA | | | Majors | | |
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| Softball | Minors | | | Majors | | | JR/ SR | | |
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| Parent/Guardian #1 | | | | Parent/Guardian #2 | | | |
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| Name | | | Name | | |
| Phone | | Phone | |
| Email | | Email | |
| Volunteer | Yes | | No | | Volunteer | Yes | | No | |
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| Medical Information | | | | | | | | |
| | | | | | | | | League Use Only |
| Emergency Contact | | Phone | | Level | |
| Relation to Player | | | | | | |
| Insurance Carrier | | Policy | | Team | |
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| Signature* | | Date | |
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| * By signing this application, I acknowledge that I have reviewed the PWLL Code of Conduct and will abide by its terms. I will alert my child and famiily | | | | | | | | | |
| members to the Code of Conduct and its terms and conditions. The Code of Conduct can also be found on the league website:www.pwll.net | | | | | | | | | |
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| MAIL FORM AND PAYMENT TO: PWLL, PO BOX 2086, PEABODY MA 01960 | | | | | | | | | |
