2018 Spring Registration Form

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
I/WE, the parents of the above named candidate for a position on a Little League Baseball team hereby give my/our approval to his/her participation in any and all Little League Activities during the current season. I/WE assume all risks and hazards incidental to such participation including transportation to and from the activities, and I/WE do hereby waive, release, absolve, indemnity and agree to hold harmless the local Little League, Little League Baseball, Inc., the organizers, sponsors, supervisors, participants and persons transporting my/our child to or from activities, for any claim arising out of an injury to my/our child, except to the extent and in the amount covered by accident or liability insurance. I/WE will furnish a certified birth certificate of the above named candidate upon request of League Officials.


Discount Policy:

1st Child Must be submitted at the highest rate for below discounts to apply!


For Little League Office ONLY

Tee ball $150
Farm $200
Minor Boys $250
Major Boys $250
Minor Girls $250
Major Girls $250
Senior Girls $150
Military Family $150
Sibling Discount $100 $50
Other____________

Amount___________________ Date________________

Amount Paid_______________ Date________________

Total Paid__________________ Date________________


* required


Payments Accepted By

Note: Credit Card information can be entered once this form is submitted