2018 Little League Player Registration Form
2018 Little League Player Registration Form Player Information Player Name: Address: City: State: Zip: Phone: Alt. #: Shirt Size: ☐ YS ☐ YM ☐ YL ☐ AS ☐ AM ☐ AL ☐ AXL ☐ AXXL
Birthdate (mm/dd/yyyy) Gender: ☐ Male ☐ Female Residency. Check One: ☐ Ypsi Twp ☐ City of Ypsi ☐ Non-Resident ☐ Attend Ypsi School:
Parent/Guardian Information Volunteer? ☐ Yes ☐ No If yes, please fill out “Volunteer Form” **See below for Volunteer Section**
Parent/Guardian Name: Phone: Email:
Registration Fees & Fundraising Information Division Teeball Machine Pitch Minors/Majors SB/BB & Junior SB Junior/Senior Baseball Candy/Pizza Kit Buyout Fee
YNLL Fee $60.00 $75.00 $105.00 $115.00 $30.00
Discounts (see board member) Discount for additional child -$10.00 Poker Worker Discount -$10.00 ($10 per shift worked) Early Registration -$10.00 (before 12/31/17) TOTAL DUE (cash, check or credit card)
Fee Owed $ $ $ $ $ $ $ $
IMPORTANT NOTES: Each family is required to sell one box of candy or 4 pizza kits per child in the league. Families may opt-out of selling candy and pizza kits for a fee of $30 per child. There are no refunds for registration fees unless we are unable to place your child on a team.
$ $
Volunteering We need volunteers for the following activities. Please check one or more: ☐ Field Maintenance ☐ Umpire ☐ Concessions ☐ Opening Day ☐ Yearbook ☐ Fundraising ☐ Team Mom ☐ Coaches ☐ Board Representative I know that participation in baseball may result in injuries and that protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify, and agree to hold harmless Ypsilanti National Little League, Little Leaveue Baseball, Inc., the organizers, sponsors, supervisors, participants, and persons transporting my child to and from activities, for any claim arising out of any injury to my child whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident or liability insurance.
Parent/Guardian Signature Date LEAGUE USE ONLY: Board Member Initials: League Fees: $ ☐ Cash ☐ Check ☐ Credit Card Division: ☐ Teeball ☐ Machine Pitch ☐ Minor ☐ Major ☐ Junior ☐ Senior Birth Certificate: ☐ Yes ☐ No Waiver Needed? ☐ Yes ☐ No Medical Release Form: ☐ Yes ☐ No League Age Proof of Residency or ☐ Yes ☐ No Baseball: ☐ Yes ☐ No School Enrollment: Softball: ☐ Yes ☐ No
Birthdate (mm/dd/yyyy) Gender: ☐ Male ☐ Female Residency. Check One: ☐ Ypsi Twp ☐ City of Ypsi ☐ Non-Resident ☐ Attend Ypsi School:
Parent/Guardian Information Volunteer? ☐ Yes ☐ No If yes, please fill out “Volunteer Form” **See below for Volunteer Section**
Parent/Guardian Name: Phone: Email:
Registration Fees & Fundraising Information Division Teeball Machine Pitch Minors/Majors SB/BB & Junior SB Junior/Senior Baseball Candy/Pizza Kit Buyout Fee
YNLL Fee $60.00 $75.00 $105.00 $115.00 $30.00
Discounts (see board member) Discount for additional child -$10.00 Poker Worker Discount -$10.00 ($10 per shift worked) Early Registration -$10.00 (before 12/31/17) TOTAL DUE (cash, check or credit card)
Fee Owed $ $ $ $ $ $ $ $
IMPORTANT NOTES: Each family is required to sell one box of candy or 4 pizza kits per child in the league. Families may opt-out of selling candy and pizza kits for a fee of $30 per child. There are no refunds for registration fees unless we are unable to place your child on a team.
$ $
Volunteering We need volunteers for the following activities. Please check one or more: ☐ Field Maintenance ☐ Umpire ☐ Concessions ☐ Opening Day ☐ Yearbook ☐ Fundraising ☐ Team Mom ☐ Coaches ☐ Board Representative I know that participation in baseball may result in injuries and that protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify, and agree to hold harmless Ypsilanti National Little League, Little Leaveue Baseball, Inc., the organizers, sponsors, supervisors, participants, and persons transporting my child to and from activities, for any claim arising out of any injury to my child whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident or liability insurance.
Parent/Guardian Signature Date LEAGUE USE ONLY: Board Member Initials: League Fees: $ ☐ Cash ☐ Check ☐ Credit Card Division: ☐ Teeball ☐ Machine Pitch ☐ Minor ☐ Major ☐ Junior ☐ Senior Birth Certificate: ☐ Yes ☐ No Waiver Needed? ☐ Yes ☐ No Medical Release Form: ☐ Yes ☐ No League Age Proof of Residency or ☐ Yes ☐ No Baseball: ☐ Yes ☐ No School Enrollment: Softball: ☐ Yes ☐ No
