Bradley-Bourbonnais Little League

Player Registration Form

League Website

www.bbbaseball.com

Player Name Birthdate

Player Address Gender

Age Fee Amount

Amt. Paid How Paid

Home Phone ( )

Player Email

My child will

My child will Baseball

Parent #1 Parent #2 tryout for: Softball

tryout for:

Name Name

Phone ( ) Relationship Phone ( ) Relationship

Work Phone ( ) Father Work Phone ( ) Father

Mother Mother

Cell Phone ( ) Guardian Cell Phone ( ) Guardian

Email Email

Occupation Occupation

Volunteer? If checked, fill out "Volunteer Application" Volunteer? If checked, fill out "Volunteer Application"

Medical Information League Use Only

Emergency Contact Phone Birth Certificate Proof of Residency

Yes No Yes No

Relationship to player Medical Release Waiver Needed?

Yes No Yes No

Insurance carrier Policy Level Assigned Team Name

1. I/We, the parents/guardians of the above-named candidate for a 6. I/We agree to provide proof of legal residence (as defined by Little

position on a Little League Team, hereby give my/our approval to League Baseball, Incorporated) and age. I/We understand that our

participate in any and all Little League Activities, including child (candidate) must be eligible under the residence and age

transportation to and from the activities. regulations of Little League Baseball, Incorporated, to participate in

2. I/We know that participation in baseball or softball may result in this Local League, and that if any controversy arises regarding

serious injuries and protective equipment does not prevent all residence and/or age, the decision of the Charter Committee in

injuries to players, and do hereby waive, release, absolve, Willimsport shall be final and binding. I/We further understand that

indemnify, and agree to hold harmless the local Little League, Little if any participant on a Little League team does not qualify for

League Baseball, Incorporated, the organizers, sponsors, participation in the league based on residence (as defined by Little

supervisors, participants, and persons transporting my/our child to League Baseball, Incorporated) and/or age, such participant and/or

and from activities from any claim arising out of any injury to my/our team on which he/she participates be found ineligible, and forfeit(s)

child whether the result of negligence or for any other cause. and/or suspension of Tournament privileges may be decreed by

3. I/We Agree to return upon request the uniform and other equipment action of the Charter Committee or Tournament Committee.

issued to my/our child in as good conditions as when received 7. I/We will furnish a certified birth certificate of the above-named

except for normal wear and tear. candidate to League Officials.

4. I/We agree that our child (candidate) may be required to try out for

a team. If such does not attend at least 50 percent of tryouts, local

Board-of-Directors' approval is required for such candidate to be

placed on a team.

5. I/We understand that our child (candidate) may be chosen at

anytime to play on a Major Division team, if he or she is of the

correct age for such division as determined by the local league and

Little League Baseball. Declining to move up to such Major

Division team will result in forfeiture of eligibility for the Major

Division for the current season, and may be subject to further

restrictions by the local league.

Signature Date