2015 PLAYER REGISTRATION FORM
PLAYER INFORMATION (Please fill out a separate registration form for EACH child)
Last Name: ______First Name: ______
Street Address (number and street name only): ______
DOB: ______
Parent/Guardian #1: ______
Phone Number: H W C ______Email Address: ______
Parent/Guardian #2: ______
Phone Number: H W C ______Email Address: ______
What school does this player attend? ______
Will this player have a sibling playing in the SAME DIVISION ? YES or NO
Please List Sibling ______
Along with MNLGLL, will player be participating in any of the following: (Please circle)
Travel Baseball Team Soccer Team Lacrosse Team Other sport:______
Our league offers play in four divisions based on the player’s age:
T-Ball: 5/1/09-4/30/11 | Coach Pitch: 5/1/06*-4/30/09
*Farms: 5/1/04-4/30/06* | Majors: 5/1/02-4/30/04
*Due to LL Rule 2018, all players born in 2006 are eligible to play in Farm Division if they choose
We strongly recommend that all players play in the division that is correct for his or her age. However if you think your child would be better off playing up or down he or she can possibly do so.
Circle one of the following: Correct Division for age Play up a division Play down a division
REGISTRATION FEES
Tee-Ball Players: $95 | All Other Divisions: $125 | $135 after February 28, 2015.
2nd player in family (all divisions): $50
3rd player in family (all divisions): $25
4th player in family: FREE
Can we post pictures of your child? Please Circle YES NO
Circling yes does not mean that your child’s picture will be posted. If you selected YES above, you hereby give permission for MNLGLL to photograph, video, or utilize the image or likeness of the player in initiatives that support the growth and promotion of the league and its activities. Such use could include publications, media releases, public announcements, electronic or otherwise, and on league websites or social media pages. You agree that neither you, nor the above listed player, will receive any compensation if such image appears in any of the manners listed above or other manner that the league deems appropriate.
Continued…
Read and accept the following agreement:
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 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.
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Parent or Guardian Signature Date