Midway Little League, Inc
How did you hear about signups? Midway Email Store Sign Neighborhood Sign School Sign Friend/Neighbor Other _____________________
LEAGUE USE ONLY
Player Registration Form ***One form per family***
Date Received: ____________ Method: _________________ Birth Certificate: Y / N Proofs of Residency: Y / N or School Enrollment League Use
1. Player Name: ___________________________________________ Birth Date: ___________________ Age _______ Cotton T-Shirt size (circle one) Youth: XS S M L XL or Men’s: S M L XL 2XL 2. Player Name: ___________________________________________ Birth Date: ___________________ Age _______ Cotton T-Shirt size (circle one) Youth: XS S M L XL or Men’s: S M L XL 2XL 3. Player Name: ___________________________________________ Birth Date: ___________________ Age _______ Cotton T-Shirt size (circle one) Youth: XS S M L XL or Men’s: S M L XL 2XL Street Address: _______________________________________________ Development: __________________________ City: ______________________ Zip Code: _____________ School: ___________________________________________ Phone #1: _______________________ Phone #2: ________________________ Phone #3: ________________________ Parent/Guardian Name(s) (print): _______________________________________________________________________ E-mail address:______________________________________________________________________________________ I, the parent/legal guardian of the above named Midway Little League, Inc. player(s), hereby give approval to his/her participation in any and all Little League activities. I agree to hold harmless Little League Baseball, Inc., the organizers, sponsors, participants, and persons transporting the player(s) to or from any activities, for any claim arising out of an injury to the player(s) except to the extent and in the amount covered by accident or liability insurance. I agree to return, upon request, all league equipment issued to the player(s) and understand this agreement shall continue in effect for as long as the player(s) has eligibility to participate on Midway Little League, Inc. teams. I acknowledge that I have been provided with a copy and agree to abide by the Midway Little League, Inc. Code of Conduct.
Signature of Parent/Guardian: ____________________________________________________ Date: _________________________
Amount
Fees - Please Make Check Payable to Midway Little League Registration: 1 player - $135, 2 players $240, 3+ players - $310 + $85 Umpiring fee for 13-16 year olds (maximum one (1) $85 fee per family) + Donation to Midway LL (Optional) Total Amount Enclosed
□ Check □ Cash Volunteer Preference - Midway Little League relies heavily on dedicated volunteers to provide a quality program for the youth of our community. We need you to pledge your support this year to continue our success. (Please check off at least one) □ Manager Division: ____________________ □ Coach Division: ____________________ – OVER FOR MORE OPTIONS –
□ □ □ □ □ □
Field Maintenance Umpire Team Mom League Auxiliary (Concession; Fall Banquet) Sponsorship Fundraising
Volunteer Name(s) (print): ________________________________________________________________ Phone #1: _______________________________ Phone #2: ___________________________________
Employer Donations - Please check with your employer to see if they have a volunteer program dedicated
to nonprofit organizations. Depending on the amount of time volunteered, some companies will award grants to nonprofit organizations donated in the employee’s name. These funds would be very beneficial to our league. Send completed form to Midway Little League, 135 New Granville Rd, Wilmington, DE 19808 2017 Midway LL Registration Form
Midway Little League
LEAGUE USE ONLY
Player Registration Form ***One form per family***
Date Received: ____________ Method: _________________ Birth Certificate: Y / N Proofs of Residency: Y / N or School Enrollment League Use
1. Player Name: ___________________________________________ Birth Date: ___________________ Age _______ Cotton T-Shirt size (circle one) Youth: XS S M L XL or Men’s: S M L XL 2XL 2. Player Name: ___________________________________________ Birth Date: ___________________ Age _______ Cotton T-Shirt size (circle one) Youth: XS S M L XL or Men’s: S M L XL 2XL 3. Player Name: ___________________________________________ Birth Date: ___________________ Age _______ Cotton T-Shirt size (circle one) Youth: XS S M L XL or Men’s: S M L XL 2XL Street Address: _______________________________________________ Development: __________________________ City: ______________________ Zip Code: _____________ School: ___________________________________________ Phone #1: _______________________ Phone #2: ________________________ Phone #3: ________________________ Parent/Guardian Name(s) (print): _______________________________________________________________________ E-mail address:______________________________________________________________________________________ I, the parent/legal guardian of the above named Midway Little League, Inc. player(s), hereby give approval to his/her participation in any and all Little League activities. I agree to hold harmless Little League Baseball, Inc., the organizers, sponsors, participants, and persons transporting the player(s) to or from any activities, for any claim arising out of an injury to the player(s) except to the extent and in the amount covered by accident or liability insurance. I agree to return, upon request, all league equipment issued to the player(s) and understand this agreement shall continue in effect for as long as the player(s) has eligibility to participate on Midway Little League, Inc. teams. I acknowledge that I have been provided with a copy and agree to abide by the Midway Little League, Inc. Code of Conduct.
Signature of Parent/Guardian: ____________________________________________________ Date: _________________________
Amount
Fees - Please Make Check Payable to Midway Little League Registration: 1 player - $135, 2 players $240, 3+ players - $310 + $85 Umpiring fee for 13-16 year olds (maximum one (1) $85 fee per family) + Donation to Midway LL (Optional) Total Amount Enclosed
□ Check □ Cash Volunteer Preference - Midway Little League relies heavily on dedicated volunteers to provide a quality program for the youth of our community. We need you to pledge your support this year to continue our success. (Please check off at least one) □ Manager Division: ____________________ □ Coach Division: ____________________ – OVER FOR MORE OPTIONS –
□ □ □ □ □ □
Field Maintenance Umpire Team Mom League Auxiliary (Concession; Fall Banquet) Sponsorship Fundraising
Volunteer Name(s) (print): ________________________________________________________________ Phone #1: _______________________________ Phone #2: ___________________________________
Employer Donations - Please check with your employer to see if they have a volunteer program dedicated
to nonprofit organizations. Depending on the amount of time volunteered, some companies will award grants to nonprofit organizations donated in the employee’s name. These funds would be very beneficial to our league. Send completed form to Midway Little League, 135 New Granville Rd, Wilmington, DE 19808 2017 Midway LL Registration Form
Midway Little League
