______Female ____/____/______ Yes No
Last Name First Name MI Date of Birth
______Child lives with: Mother Father Both Legal Guardian My child wants to play:
Name child prefers to be called Baseball Softball
T-Ball
Siblings at RRLL (Give name & age): 1) ______3) ______
2) ______4) ______
Participation in Little League Baseball requires the ability to run, throw, swing a bat, catch a ball, and understand the rules of the
game. Does your child have any condition limiting his or her ability to participate in this activity? YesNo If YES, please explain:______/ LEAGUE USE ONLY
RRLL / iid / ivh
____ League Age
____ Birth Certificate
____ Residency
Division: Boys Girls
T-Ball
BB-Rookie
BB-Minor / SB-Minor
BB-Major / SB-Major
BB-Junior / SB-Junior
BB-Senior / SB-Senior
Payment:
Amount Owed:
Amount Paid:
# of Players:
Cash Check # ______
Parent Information / Father/Guardian / Mother/Guardian
______
First Name Last Name
______
Address Zip Code
______
Home Phone Day Phone
______
E-mail Address Occupation / ______
First Name Last Name
______
Address Zip Code
______
Home Phone Day Phone
______
E-mail Address Occupation
Please Read and Sign
1) I/We, the parent(s)/legal guardian(s) of the above-named candidate, hereby give our approval for his/her participation in any and all little league activities, including transportation to and from the activities.2) I/we understand 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 Roadrunner Little League, Inc., Little League Baseball, inc the organizers, sponsors, supervisors, participants and persons transporting my/our child to or from activities, from any claim arising out of an injury to my/our child whether the result of negligence or for any other cause. Further, I am/we are financially responsible for this child.
3) I/we understand that our child (candidate) may be chosen at anytime to play on a Major Division team, If he/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 will be subject to further restrictions by the local league.
4) I/we understand that there will be NO REFUNDS, once registration is completed (up to first date of tryouts). If you or your child decides not to participate at RRLL your entire registration fee will then be considered a donation to RRLL.
5) I understand I will be responsible to work or pay for a concession substitute during my child’s scheduled session(s) as well as assisting with any team needs such as scorekeeping and umpiring. Failure to work or pay for a substitute will result in my child being suspended from the following scheduled game.
I Understand by signing this form I agree with statement 4 and 5
______
Parent (1)/Guardian Date Parent (2)/Guardian Date
Form must be signed by at least one parent / guardians. Both Parents if possible(not required)
Volunteer Information
In applying for membership in Roadrunner Little League, Inc., I understand the league is a non-profit, all VOLUNTEER organization that depends on its members to help perform the many tasks needed for a successful program. Accordingly, I/We help with the following:Concession (REQUIRED)
See bullet point 5
Kitchen Helper
Manager
Coach
Team Parent
Scorekeeper
Umpire
Special Projects
Field Preparation
Sponsor: Individual / Corporate
$ ______OR Goods/Srvcs
Thank you for your support!!
Terms of Membership2018-Roadrunner Little League Registration and Membership Application