Little League Player Registration Form
Little League Player Registration Form
Please complete all required fields below to ensure your child’s smooth registration for the upcoming Little League season.
Player Information
Name
Date of Birth
Gender
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Male
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Female
Address
Parent/Guardian Name
Emergency Contact Information
Emergency Contact Name
Relationship to Player
Contact Number
Health Information
Allergies or Medical Conditions
Primary Care Physician
Phone number
Parent/Guardian Consent
I, the undersigned, certify that my child is physically fit and able to participate in Little League activities. I understand the nature of this sport and the associated risks. I hereby release the league and its affiliates from any liability for injuries or damages arising from participation.
Date:
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