VILONIA CITY HALL: Parks and Rec. Dept. 18 Bise Drive Vilonia, AR 72173 Phone: 501-796-2534 Fax: 501-796-2513
SPRING 2018 BASEBALL & SOFTBALL REGISTRATION INFORMATION Registration: Opens on January 15th, 2018 and closes on February 18th, 2018. **Late registration begins February 19th, 2018 for an additional $20 charge for late fees** Fee: One Child - $65.00 Each additional sibling - $50.00 On-Site Registration Information: Dates: JAN. 20TH FEB. 3RD FEB. 17TH Location: Vilonia Middle School Cafeteria Time: 10:00AM – 3:00PM Online Registration: Follow the QR Code in the top left-hand corner of the page to the Vilonia Parks and Recreation website, or go to: http://leagues.bluesombrero.com/Default.aspx?tabid=945593, and click on the Registration tab. Draft Information: Baseball: Date: MAR. 3RD Time: TO BE DETERMINED **(weather permitting) **
Location: Vilonia Baseball Complex 26 Cemetery Road, Vilonia, AR 72173
**In case of bad weather, the Draft will be moved to the High School Football Field House**
Softball: NO DRAFT
Player Name
Birthdate
Address
Gender
Address 2
League Age/Fee
City/State/Zip
Phone Number
Age
Amount
Email
BASEBALL
My child will play:
SOFTBALL
Parent #1
Parent #2
Name
Name
Phone
Phone
Email
Email
Occupation
Occupation
Interested in Coaching?
Interested in Coaching?
If checked, fill out “Coaching Application"
If checked, fill out “Coaching Application"
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Medical Information Emergency Contact Relationship to Player
LEAGUE USE ONLY
Insurance Carrier
Policy
Phone
Birth Certificate
Proof of Residency
Medical Release
Waiver needed?
Form
Team Name
Level Assigned
READ THE FOLLOWING BEFORE TURNING FORM IN: 1. I/We, the parents/guardians of the above-named candidate for a position on a Vilonia League team, hereby give my/our approval to participate in any and all League activities, including transportation to and from the activities. 2. I/We know that participation in baseball or softball 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 from any claim arising out of any injury to my/our child whether the result of negligence or for any other cause. 3. I/We agree to return upon request the uniform and other equipment issued to my/our child in as good conditions as when received except for normal wear and tear. 4. I/We agree that our child (candidate) may be required to participate in the draft. If such does not attend at least 50 percent of the draft, local Directors' approval is required for such candidate to be placed on a team.
Signature:
Date:
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