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2018 Spring Registration Rec Dept/League Use Only
*
Method:
REC - ONLINE
IN PERSON
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
White Plains
*
State:
NY
*
Zip Code:
10601
10602
10603
10604
10605
10606
*
Home Phone:
Main Contact Email:
PARENT/GUARDIAN #1
*
Firstname:
*
Lastname:
Alternate Phone:
Alternate EMail:
Additional Information:
Volunteer As:
Manager
Coach
*
Returning Player:
Yes
No
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
*
Gender:
M
F
*
Current Grade:
K
1
2
3
4
5
6
7
8
9
10
11
*
My child wishes to play::
Baseball
Softball (Girls Only)
EMERGENCY CONTACT INFORMATION
Emergency Contact:
Relationship To Player:
Parent
Grandparent
Guardian
Relative
Family Friend
Phone:
Additional Information:
Shirt Size:
YS
YM
YL
YXL
S
M
L
XL
XXL
Pant Size:
YS
YM
YL
YXL
S
M
L
XL
XXL
Payment Information:
Check
Cash
Scholarship
Check Number:
WAIVER INFORMATION
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. 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 (as defined by Little League Baseball,
Incorporated) and age. I/We understand that our child (candidate) must be eligible under the residence and age regulations of Little League Baseball, Incorporated, to participate in this Local League, and that if any controversy arises regarding residence and/or age, the decision of the Charter Committee in Williamsport 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 Charter Committee or 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. I/We understand that our child (candidate) may be chosen at anytime 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
I/we agree with the above
Parent Character Compact Signed
FOR LEAGUE USE ONLY - DO NOT INPUT BELOW
Comments:
Paid In Full
Payment Verification:
OKAY
Fee Paid:
$0
$25
$50
$75
$100
$125
$150
$175
$200
$225
$250
$275
$300
$325
$350
$375
$400
* indicates required fields