port st lucie little league player registration

PORT ST LUCIE LITTLE LEAGUE PLAYER REGISTRATION New to PSLLLS

Player Information:

Player Name: ______________________________________________________ Birthdate____/_____/____ Address (Official Street residence of Child) ______________________________________________________________________________ Cell Phone ______________________________

Email: ___________________________________________________________________________________

T-ball 5-6

Little League age as of 1/1/2019 _________

Minors(Coach Pitch) 6-8

Majors 9-12

Seniors 13-16

PARENT/GUARDIAN INFORMATION (guardian must be court appointed) Check here if legal guardian PARENT/Guardian NAME: _____________________________________________________________________________ ADDRESS: _____________________________________________________________________________________________________________________ PHONE: _____________________________________ EMAIL: ____________________________________________________________________________ Occupation: ___________________________________________________Employer: ____________________________________________________________

PARENT/Guardian NAME: _____________________________________________________________________________ ADDRESS: _____________________________________________________________________________________________________________________ PHONE: __________________________________ EMAIL: ______________________________________________________________________________ Occupation: __________________________________________________ Employer: ____________________________________________________________________

VOLUNTEERS NEEDED: Manager _______ Coach _______ Team Parent _______ Umpire ______ Board Member ______ Sponsor______ Photo/Media Release: 

YES, I give my permission for Little League International and PSLLLS to use my player(s) photo for social media.



NO, I do NOT give my permission.

FOR LEAGUE USE ONLY: Total Received: ______________ Cash

Credit Card

Proof of Residence: Yes

Registration Fee: ______________

Check #______________

Birth Certificate: Yes

No

No

Rule II (d) Waiver: Yes No

Other Comments: ________________________________________________________________________________________________________ Sibling(s)___________________________________________________________________Age_________Tryout needed: yes______no______

Jersey Size: ______________Pant Size_____________(not guaranteed) T-Shirt Size:______________ (If available)

Parent must initial size is correct______________