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

        • Male

        • Female

        Address

          Parent/Guardian Name

            Email

              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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