2009 Fall Little League Registration Form
We're sorry, registration for FALL has been closed.
Player Information

Players Full NameDivision
Current AddressBirthdate (Ex: 02051998)
Zip CodeParents Names:
Home PhoneCell Phone
EmailSchool
Returning Player? Yes   NoDivision last season
Gender: Boy   Girl Notes/Team Requests

Emergency Contact Information

Contact Name:       Phone     Relation 

Please list any medical conditions your childs coach should be aware of:

Parent Volunteer Information

I/We would like to help with the following position (optional):
Manage a team    Assistand Coach    Concession Help   Field Prep
   Fundraising         Umpire                   Tryouts                  Picture Day

Sponsor Information

Please contact the following regarding sponsorship (optional):
Name and Phone: 

Parent Signature and Release of Liability:

I/We, the parent/guardian(s) 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.

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, Inc, the organizers, sponsors, participants and persons transporting my/our child to and from activities for any claim arising out af any injury to my/our child whether the result of negligence or for any other cause. I/We will furnish a certified birth certificate of the above named candidate to league officials upon request. Refunds will be provided only if your childs spot can be filled with another player. Please notify us as soon as possible if you need a refund.

Parent/Guardian Signature: