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Little League Player Registration Form

Little League Player Registration form Player Information Player Name: _____ Birthdate (mm/xx/yyyy): _____. Address: _____ Gender: Male Female Address 2 (if applicable): _____ League Age: _____ League Fee: _____. City: _____ State: _____ Zip Code: _____. Phone: _____ Email: _____. My child will tryout for: Baseball Softball Parent/Guardian Information Parent/Guardian #1 Parent/Guardian #2. Name: _____ Name: _____. Phone: _____ Phone: _____. Email: _____ Email: _____. Occupation: _____ Occupation: _____. Volunteer? Yes No Volunteer? Yes No If yes, fill out Volunteer Application If yes, fill out Volunteer Application . Medical Information Emergency contact: _____ Insurance carrier: _____.

Little League® Player Registration Form Player Information Player Name: _____ Birthdate (mm/xx/yyyy): _____ Address: _____ Gender: Male Female

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