Corbin Little League Baseball/softball Player Registration Form
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1Corbin Little League Baseball/Softball
Player Registration Form
Player name
Birthdate
(first – last)
Address
Gender
Age
Amount
Address 2
League Age/Fee
City/State/Zip
MY CHILD WILL PLAY
(check one)
.
BASEBALL
Best Contact #
GIRLS FAST PITCH SOFTBALL
Cell phone(s)
TEXT? YES
NO
(circle one)
TEXT? YES
NO
(circle one)
TEXT? YES
NO
(circle one)
Email
Parent #1
Parent #2
Name
Name
Phone
Phone
Occupation
Occupation
We need coaches and other volunteers. If interested please ask for a Volunteer Application. We will also need a copy of your drivers
license. If you are interested in volunteering which would you prefer? (circle one) Manager (head coach)
Assistant coach
Concessions
League Official
Scorekeeper
Umpire Other:_____________________________________________________
Medical Information
Emergency contact
Phone
Relationship to player
1. I/We, the parents/guardians of the above-named candidate for a position
6. I/We agree to provide proof of legal residence (as defined by Little League
on a Little League team, hereby give my/our approval to participate in any
Baseball, Incorporated) and age. I/We understand that our child (candidate)
and all Little League activities, including transportation to and from the
must be eligible under the residence and age regulations of Little League
activities.
Baseball, Incorporated, to participate in this Local League, and that if any
2. I/We know that participation in baseball or softball may result in serious
controversy arises regarding residence and/or age, the decision of the Charter
injuries and protective equipment does not prevent all injuries to players, and
Committee in Williamsport shall be final and binding. I/We further understand
do hereby waive, release, absolve, indemnify, and agree to hold harmless the
that if any participant on a Little League team does not qualify for participation
local Little League, Little League Baseball, Incorporated, the organizers,
in the league based on residence (as defined by Little League Baseball,
sponsors, supervisors, participants, and persons transporting my/our child to
Incorporated) and/or age, such participant and/or team on which he/she
and from activities from any claim arising out of any injury to my/our child
participates be found ineligible, and forfeit(s) and/or suspension of Tournament
whether the result of negligence or for any other cause.
privileges may be decreed by action of the Charter Committee or Tournament
3. I/We agree to return upon request the uniform and other equipment issued
Committee.
to my/our child in as good conditions as when received except for normal
7. I/We will furnish a certified birth certificate of the above-named candidate to
wear and tear.
League Officials.
4. I/We agree that our child (candidate) may be required to try out for a team.
PERSONAL BAT USE:
If such does not attend at least 50 percent of the tryouts, local Board-of -
By my signature below I authorize the umpire or any league representative to
Directors' approval is required for such candidate to be placed on a team.
confiscate any bat that my child or another child uses belonging to me in any
5. I/We understand that our child (candidate) may be chosen at anytime to
game or practice conducted by Corbin Little League if the bat is involved in a
play on a Major Division team, if he or she is of the correct age for such
serious or suspicious batted ball injury.
division as determined by the local league and Little League Baseball.
Declining to move up to such Major Division team will result in forfeiture of
eligibility for the Major Division for the current season, and may be subject to
further restrictions by the local league.
SIGNATURE:
Facebook – Corbin Little League
DATE
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