TELL 2018 Fall Ball Registration

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
Warning: Protective Equipment cannot prevent all injuries a player might receive while participating in baseball. Little League does not limit participation in its activities on the basis of disability, race, color, creed, national origin, gender, sexual preference or religious preference.

Parent or Guardian Authorization:
In case of an emergency, I hereby authorize my child to be treated by Certified Emergency Personnel. (i.e. EMT, First Responder, ER Physician).

The purpose of the above information is to help ensure that medical personnel have details of any medical problem which may interfere with or alter treatment.

* required


Payments Accepted By

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