CACTUS WREN LITTLE LEAGUE
LEAGUE AGE
CACTUS WREN LITTLE LEAGUE
as of April 30, 20___
PLAYER REGISTRATION FORM YEAR:
PLAYER/TRYOUT # Fall or Spring
SEASON: PLAYER INFORMATION (Please Print)
Player Name
Date of Birth: (Last Name, First Name Middle Initial)
Address:
City:
Phone Number: Shirt Size:
State:
School: YS
Requested Division:
YM
YL
AS
AM
Minor(Coach Pitch) T-Ball Intermediate w/ Majors
AL
AXL
Minor (Kid Pitch) Major Intermediate w/ Juniors
ZIP: Male
Female
AXXL
AXXXL
Junior
Senior
Requested Manager/Coach/Friend (Spring Farm & T-Ball Divisions Only - Fall All Divisions ):
PARENT CONTACT INFORMATION (Please Print) Parent/Guardian Name (Father): Address:
City:
Home Phone:
Cell/Other Phone:
Employer:
Email:
Volunteer Opportunities: Scorekeeper
State:
ZIP:
Team Manager
Coach / Asst. Coach
Field Maintenance
Snack Bar
Board Member
Team Rep.
Umpire
Parent/Guardian Name (Mother): Address:
City:
Home Phone:
Cell/Other Phone:
Employer:
Email:
Volunteer Opportunities: Scorekeeper Please Initial & Sign at the bottom
State:
ZIP:
Team Manager
Coach / Asst. Coach
Field Maintenance
Snack Bar
Board Member
Team Rep.
Umpire
CONSENT WAIVER & RELEASE OF LIABILITY
I / We the parents/guardians of the above named candidate for a position on a Cactus Wren Little League Team, hereby give approval for our child to participate in any and all Little League activities. I / We the parents/guardians hereby give approval for our child to be photographed during any league activities. I / We know the participation in baseball may result in serious injuries, and protective equipment does not prevent all injuries to players and do hereby waive, release, absolve, indemnify and to hold harmless Cactus Wren Little League Incorporated, Little League Baseball, Inc., the organizers, sponsors, board of directors, parent volunteers, participants and persons transporting my/our child to and from activities for any claim arising out of any injury to my/our 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. I / We will present a certified birth certificate and proof of residency for the above child to League Officials at the time of registration or any other time requested. I / We understand that strict adherence to the CWLL BY-LAWS, CWLL CODE OF CONDUCT, CAMPUS & FIELD RULES and LITTLE LEAGUE INC.Rules is required for everyone involved with CWLL. Father / Guardian Signature:
Date:
Mother / Guardian Signature:
Date:
THIS PAGE IS TO BE COMPLETED BY BOARD MEMBERS ONLY LEAGUE AGE
CACTUS WREN LITTLE LEAGUE
as of April 30, 20___
PLAYER REGISTRATION CONFIRMATION YEAR:
PLAYER/TRYOUT #
SEASON: FOR OFFICIAL LEAGUE USE ONLY Male
Player Name:
Female
(Last Name, First Name Middle Initial)
Returning Player:
Yes
NO
BIRTH CERTIFICATE:
Yes
No
3 PROOFS OF RESIDENCY:
Yes
No
Waiver
CODE OF CONDUCT:
Yes
No
Little League® MEDICAL RELEASE:
Yes
No
School
VOLUNTEER FORM:
Yes
No
MANAGER / COACH APPLICATION:
Yes
No
Sibling Discount
Previous Yr/Team:
(Please List Siblings Below)
Name
Division
Relationship to Player
1
-$5.00
2
-$10.00
3
-$15.00 If siblings are within same division, parent(s) : Fundraiser $ Sponsorship
Prefer sibling option Buy Out
$
$
Raffle
(Attach Sponsorship Sheet)
$
Scholarship
Cash $
$
Must be approved by Board of Directors
ALL STAR SELECTION Total Paid: $
Revoke sibling option
Check#
Credit $
Player Information and Fees received & reviewed by:
ENTERED ONLINE (chk when done)
FOR PLAYER AGENT USE ONLY LLDB Division Code: LLDB Role: Valid LLDB Division Codes: 11 Baseball - T-Ball 15 Baseball - Seniors 12 Baseball - Minors 16 Baseball - Big League 13 Baseball - Majors 17 Baseball - Juniors ASSIGNED DIVISION: T-Ball (Ages 5-6) Senior (Ages 15-16)
Coach PItch (Ages 6-8) Attended Tryout:
Player Selected to the following team: Received All Star Fee:
$
Original Birth Certificate
LLDB Entry Date: Valid LLDB Roles: M Manager B Male Player C Coach G Female Player V Volunteer
Minor (Ages 8-11)
YES
NO
9/10
10/11
Major (10-12)
Junior (Ages 13-14)
Team Assigned:
Cash
L.L. Check#
3 Proofs of Residency:
All-Star Commitment Form Registration / Medical Release Form DISCIPLINARY ACTIONS
JUNIORS
SENIORS
CACTUS WREN LITTLE LEAGUE
as of April 30, 20___
PLAYER REGISTRATION FORM YEAR:
PLAYER/TRYOUT # Fall or Spring
SEASON: PLAYER INFORMATION (Please Print)
Player Name
Date of Birth: (Last Name, First Name Middle Initial)
Address:
City:
Phone Number: Shirt Size:
State:
School: YS
Requested Division:
YM
YL
AS
AM
Minor(Coach Pitch) T-Ball Intermediate w/ Majors
AL
AXL
Minor (Kid Pitch) Major Intermediate w/ Juniors
ZIP: Male
Female
AXXL
AXXXL
Junior
Senior
Requested Manager/Coach/Friend (Spring Farm & T-Ball Divisions Only - Fall All Divisions ):
PARENT CONTACT INFORMATION (Please Print) Parent/Guardian Name (Father): Address:
City:
Home Phone:
Cell/Other Phone:
Employer:
Email:
Volunteer Opportunities: Scorekeeper
State:
ZIP:
Team Manager
Coach / Asst. Coach
Field Maintenance
Snack Bar
Board Member
Team Rep.
Umpire
Parent/Guardian Name (Mother): Address:
City:
Home Phone:
Cell/Other Phone:
Employer:
Email:
Volunteer Opportunities: Scorekeeper Please Initial & Sign at the bottom
State:
ZIP:
Team Manager
Coach / Asst. Coach
Field Maintenance
Snack Bar
Board Member
Team Rep.
Umpire
CONSENT WAIVER & RELEASE OF LIABILITY
I / We the parents/guardians of the above named candidate for a position on a Cactus Wren Little League Team, hereby give approval for our child to participate in any and all Little League activities. I / We the parents/guardians hereby give approval for our child to be photographed during any league activities. I / We know the participation in baseball may result in serious injuries, and protective equipment does not prevent all injuries to players and do hereby waive, release, absolve, indemnify and to hold harmless Cactus Wren Little League Incorporated, Little League Baseball, Inc., the organizers, sponsors, board of directors, parent volunteers, participants and persons transporting my/our child to and from activities for any claim arising out of any injury to my/our 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. I / We will present a certified birth certificate and proof of residency for the above child to League Officials at the time of registration or any other time requested. I / We understand that strict adherence to the CWLL BY-LAWS, CWLL CODE OF CONDUCT, CAMPUS & FIELD RULES and LITTLE LEAGUE INC.Rules is required for everyone involved with CWLL. Father / Guardian Signature:
Date:
Mother / Guardian Signature:
Date:
THIS PAGE IS TO BE COMPLETED BY BOARD MEMBERS ONLY LEAGUE AGE
CACTUS WREN LITTLE LEAGUE
as of April 30, 20___
PLAYER REGISTRATION CONFIRMATION YEAR:
PLAYER/TRYOUT #
SEASON: FOR OFFICIAL LEAGUE USE ONLY Male
Player Name:
Female
(Last Name, First Name Middle Initial)
Returning Player:
Yes
NO
BIRTH CERTIFICATE:
Yes
No
3 PROOFS OF RESIDENCY:
Yes
No
Waiver
CODE OF CONDUCT:
Yes
No
Little League® MEDICAL RELEASE:
Yes
No
School
VOLUNTEER FORM:
Yes
No
MANAGER / COACH APPLICATION:
Yes
No
Sibling Discount
Previous Yr/Team:
(Please List Siblings Below)
Name
Division
Relationship to Player
1
-$5.00
2
-$10.00
3
-$15.00 If siblings are within same division, parent(s) : Fundraiser $ Sponsorship
Prefer sibling option Buy Out
$
$
Raffle
(Attach Sponsorship Sheet)
$
Scholarship
Cash $
$
Must be approved by Board of Directors
ALL STAR SELECTION Total Paid: $
Revoke sibling option
Check#
Credit $
Player Information and Fees received & reviewed by:
ENTERED ONLINE (chk when done)
FOR PLAYER AGENT USE ONLY LLDB Division Code: LLDB Role: Valid LLDB Division Codes: 11 Baseball - T-Ball 15 Baseball - Seniors 12 Baseball - Minors 16 Baseball - Big League 13 Baseball - Majors 17 Baseball - Juniors ASSIGNED DIVISION: T-Ball (Ages 5-6) Senior (Ages 15-16)
Coach PItch (Ages 6-8) Attended Tryout:
Player Selected to the following team: Received All Star Fee:
$
Original Birth Certificate
LLDB Entry Date: Valid LLDB Roles: M Manager B Male Player C Coach G Female Player V Volunteer
Minor (Ages 8-11)
YES
NO
9/10
10/11
Major (10-12)
Junior (Ages 13-14)
Team Assigned:
Cash
L.L. Check#
3 Proofs of Residency:
All-Star Commitment Form Registration / Medical Release Form DISCIPLINARY ACTIONS
JUNIORS
SENIORS
