HLL 2017 Registration Form

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Options:

Travel

Siblings

Coach/Manager

Name of Options/Coach:

HIGHLANDS LITTLE LEAGUE

2017 REGISTRATION FORM

Division: SR / MJ / M1 / M2 / TBall Player Shirt Size:

PLAYER’S INFORMATION

YXS / YS / YM / YL / YXL / AS / AM / AL / AXL

Player’s Name

Age

Address

DOB

City

Home Phone

Charter #343-17-04 P.O. Box 62 Highlands, Texas 77562

Zip

School

PARENT / GUARDIAN INFORMATION

Grade

Best to Contact:

Father’s Name

Mother’s Name

Address

Address

City

City

Home Phone

Home Phone

Cell Phone

Cell Phone

Work Phone

Work Phone

E-mail

E-mail

Father / Mother

Please circle any of the following for which you may be interested in volunteering: Manager Coach Team Mom HLL Auxiliary

REGISTRATION Minor 2, Minor 1, Majors & Senior: T-Ball: $75 each child No. of Children T-Ball Age: Amount Paid: $

Receipt #:

Printed Name of Guardian Official use only: Received By:

Birth Certificate Verified:

$125 first child / $75 each additional child Late Fee: $10 per family No. of Children M2, M1, MJ & SR: Received By: Signature / Date Address Verified: Date:

Returning Player: