Plymouth Little League

P.O. Box 792

Plymouth, MA 02362

2016 Plymouth Little League Registration

*** Registration Fee MUST accompany the Registration Form ***

Players 11 to 12; $150 / Players 7 to 10; $145 / Players 4-6 years old; $99

First 2 oldest children in the family pay the full rate; any additional children are free. A separate Player Registration Form must be completed for each child being registered. A $30 late fee will be charged for ALL registrations received after DECEMBER 31ST 2015. WE WILL NOT ACCEPT ANY REGISTRATION WITHOUT FULL PAYMENT. BIRTH CERTIFICATES ARE REQUIRED FOR NEW PLAYERS ENTERING THE LEAGUE.

Player Last Name: ______LEAGUE AGE ______
(Age on August 31st 2016)

Player First Name: ______

Date of Birth:______/______/______Parent/Guardian Name:______

2015 Division: ______or please circle the age bracket below

Age4-5 /A Age 6/AA Age 7-8/NL Open 9-10/National Diamond/Super 11-12/American League 11-12/ Majors

Mailing Address:______

City/State/Zip:______

Email: ______Phone: ______

Volunteer:Coaching ____ Fundraising ____ Concession Stand ____ Field Maintenance ____

Hold-harmless Agreement

I, the Parent/Guardian of the above named child, give my permission for their participation in any and all South Plymouth Youth Baseball activities. I assume all risks and hazards incidental to such participation including transportation to and from the activities. I hereby waive, release, absolve, indemnify, and agree to hold harmless the local League, Plymouth Little League, Little League Inc ©, the organizers, sponsors, supervisors, participants, Board of Directors and Coaches, and persons transporting our child to and from activities, for any claim arising out of an injury to our child, whether the result of negligence or for any other cause; except to the extent and in the amount covered by our liability insurance. I agree to return upon request, any returnable uniform or other equipment issued to our child in satisfactory condition, consistent with normal wear and usage. Upon request, I will furnish a copy of my child's birth certificate. I understand that the Town of Plymouth, as well as any servants and employees of the Town shall not be liable for any injuries that occur during Little League Baseball use of Town fields and parks including school fields. I also agree to hold harmless any other listed owner of fields that are used by Plymouth Little League. In case of emergency, if our family physician cannot be reached, I authorize the above named player to be treated by another qualified physician who is available.

Parent/Guardian Signature: ______Date: ______/______/______

______DO NOT WRITE BELOW LINE______

Date of Registration: ______/______/______Initials of Official ______Child’s League Age: ______

Registration Fee: $______$30 Late Fee: _____ Method of Payment: [ ] Cash [ ] Check ______