, thanks
Registration Fee =
$95
* Family Maximum =
$350
Amount Received: Cash:
Scituate Little League 2017 Summer T-Ball Registration Form
Check #: Birth Certificate: Rcvd. On File:
Birth Dates: 09/01/2010 - 8/31/2012 Player Information Player’s First Name (Please Print) Player’s Last Name (Please Print)
Sex
Birth Date:
Grade:
School Attending:
Did you Play Last Year? Y / N Which Level? _________ Health Conditions: Are you playing another Spring Sport? Y / N
Which One? (e.g. soccer, lacrosse, etc.):
Do you play for another baseball program in the spring? Y / N Which One? (e.g. AAU, high school, etc.): Comments – (Special requests, other information) _______________________________________________________________ Comments – (Special requests, other information) _______________________________________________________________ Parent / Guardian Information Father’s Name:
Mother’s Name: Check if Same
Father’s Phone:
Mother’s Phone:
Father’s Address:
Mother’s Address:
Father’s Email:
Mother’s Email:
Volunteer Information We need Your HELP. Please read the following list and check an area in which you would be willing to help: st
REQUIRED: Coaches 1 Aid/Skill Training, Sign CORI and Code of Conduct form, PCA Training
Coach: (Print Name) _______________________________________ Manages a team, schedules practices, responsible for uniforms and equipment.
st
REQUIRED: Coaches 1 Aid/Skill Training, Sign CORI and Code of Conduct form, PCA Training
Assistant Coach: (Print Name)________________________________ Helps out at games & practices, assists with score keeping and the batting order.
Team Parent: (Print Name)
REQUIRED: Sign CORI Form
__________________________________
Helps out with Raffle, team events, team logistics
Sponsorship Information ($350) TEAM SPONSORSHIP (Print Name) _________________________________________ Phone #________________ Provides funds to defray operating expenses. Includes business name on uniform and team picture ($600) BUSINESS ADVERTISEMENT (Print Name) ______________________________________Phone # ________________ Includes a sign for the 2012 season at the Greenbush Field ($850) TEAM & BUSINESS ADVERTISEMENT (Print Name) _______________________________Phone # ________________ Includes business name on uniforms, team picture, and a sign at the Greenbush Field
CUDWORTH FIELD IMPROVEMENTS: Any amount will help! Donations amount:
$10,
$15,
$25,
other $________________
I/We the parents/guardians of the above named candidate for a position on a Little League team, hereby give my/our approval to participate in any and all Little League activities, including transportation to and from the activities. I/We know that 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 agree to hold harmless the local Little League, Little League Baseball Incorporated, the organizers, sponsors, supervisors, 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. I/We will furnish a certified birth certificate for all first year sign-ups, AND for any boy or girl who has never participated in the Scituate Little League Baseball Program. I hereby give permission for SLL to use pictures on their websites, social media and literature that DO NOT display any names. SIGNATURE(S) of PARENT(S) OR GUARDIAN(S) __________________________________________________________________________
$95
* Family Maximum =
$350
Amount Received: Cash:
Scituate Little League 2017 Summer T-Ball Registration Form
Check #: Birth Certificate: Rcvd. On File:
Birth Dates: 09/01/2010 - 8/31/2012 Player Information Player’s First Name (Please Print) Player’s Last Name (Please Print)
Sex
Birth Date:
Grade:
School Attending:
Did you Play Last Year? Y / N Which Level? _________ Health Conditions: Are you playing another Spring Sport? Y / N
Which One? (e.g. soccer, lacrosse, etc.):
Do you play for another baseball program in the spring? Y / N Which One? (e.g. AAU, high school, etc.): Comments – (Special requests, other information) _______________________________________________________________ Comments – (Special requests, other information) _______________________________________________________________ Parent / Guardian Information Father’s Name:
Mother’s Name: Check if Same
Father’s Phone:
Mother’s Phone:
Father’s Address:
Mother’s Address:
Father’s Email:
Mother’s Email:
Volunteer Information We need Your HELP. Please read the following list and check an area in which you would be willing to help: st
REQUIRED: Coaches 1 Aid/Skill Training, Sign CORI and Code of Conduct form, PCA Training
Coach: (Print Name) _______________________________________ Manages a team, schedules practices, responsible for uniforms and equipment.
st
REQUIRED: Coaches 1 Aid/Skill Training, Sign CORI and Code of Conduct form, PCA Training
Assistant Coach: (Print Name)________________________________ Helps out at games & practices, assists with score keeping and the batting order.
Team Parent: (Print Name)
REQUIRED: Sign CORI Form
__________________________________
Helps out with Raffle, team events, team logistics
Sponsorship Information ($350) TEAM SPONSORSHIP (Print Name) _________________________________________ Phone #________________ Provides funds to defray operating expenses. Includes business name on uniform and team picture ($600) BUSINESS ADVERTISEMENT (Print Name) ______________________________________Phone # ________________ Includes a sign for the 2012 season at the Greenbush Field ($850) TEAM & BUSINESS ADVERTISEMENT (Print Name) _______________________________Phone # ________________ Includes business name on uniforms, team picture, and a sign at the Greenbush Field
CUDWORTH FIELD IMPROVEMENTS: Any amount will help! Donations amount:
$10,
$15,
$25,
other $________________
I/We the parents/guardians of the above named candidate for a position on a Little League team, hereby give my/our approval to participate in any and all Little League activities, including transportation to and from the activities. I/We know that 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 agree to hold harmless the local Little League, Little League Baseball Incorporated, the organizers, sponsors, supervisors, 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. I/We will furnish a certified birth certificate for all first year sign-ups, AND for any boy or girl who has never participated in the Scituate Little League Baseball Program. I hereby give permission for SLL to use pictures on their websites, social media and literature that DO NOT display any names. SIGNATURE(S) of PARENT(S) OR GUARDIAN(S) __________________________________________________________________________
