BROWNSTOWN

Little League

2018Registration Checklist –

SOFTBALL Age 7 to 16

Registration

Registration Fee$65.00

Raffle Ticket Fundraiser$50.00

Total Amount Due at Registration:$115.00 + $50.00 Deposit

Check or Money Order Payable to Brownstown Little League. You are paying for the raffle tickets in advance and will receive them at registration. Once you sell them, please keep the money collected. Raffle ticket stubs should be turned in no later than April 22rd, 2017. The drawing will take place after the parade at the Opening Day Parade on April 29th, 2017.

*A separate check for $50.00 per family will be collected and held as a VOLUNTEER DEPOSIT. After volunteering for one two hour shift during the season (Jan-June) your $50.00 will be returned to you (concession, field prep, fundraising, coaching, please ask for more details). Strictly volunteer deposit unless criteria not fulfilled check will be cashed in JUNE!

CHECK LIST

Cash, check, or money order payable to BTLL for $115.00 ______

Separate Cash, check, or money order payable to BTLL Volunteer Deposit $50.00 ______

Completed Player Registration Form ______

Birth Certificate ______

Proof of Residence ______

Completed Volunteer Form ______

2018Brownstown Little League

Player Registration Age 7 to 16SOFTBALL

A Chartered Member of Little League Baseball, Incorporated

League Use Only Baseball _____

League Age ______Softball _____

Birth Certificate ______

Participation Fee ______

Raffle Tickets # ____ Fee______

Player’s Name: ______

Player’s School is: ______Birth Date: ______M___ F___

Parents(s)/Guardians(s): ______

Address: ______City: ______

Zip: ______E-Mail Address: ______Parent Email: ______

Home Phone: ______Cell Phone: ______

Emergency Contact: Name: ______Phone: ______

Parent(s)/Guardian(s) Occupation(s): ______

Has your child participated in Brownstown Little League before Yes______No______

If yes Team Name: ______Division:______Baseball: ___ Softball: ___

Names of other Brothers/Sisters in the League Team/Division

______

______

______

Parent(s)/Guardian(s) please fill out a volunteer application.

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I/we the parents/guardians of the above named player for a position on a Brownstown Little League team, hereby give my/our approval to participate in any and all Brownstown Little League activities, including transportation to and from the activities. I hereby consent to and authorize the use of and reproduction of any and all photographs and video which have been taken of my child for the promotional purposes of Brownstown Little League. I/we know that participation in baseball/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 Brownstown Little League, Little League Baseball incorporated, the organizers, sponsors, supervisors, participants and persons transporting my/our child to and from activities for any claim arising out of any injury to my/our child weather the result of negligence or for any other cause. I/we agree to return upon request the uniform and other equipment issued to my/our child in as good condition as when received except for normal wear and tear. I/we agree to provide proof of legal residence (as defined by Little League Baseball, Incorporated) and age. I/we understand that my/our child/player must be eligible under the residence and age regulation of Little League Baseball, Incorporated, to participate in Brownstown Little League, and that if any controversy arises regarding residence and or age, the decision of the Charter Committee in Williamsport shall be final and binding. I/we further understand that if any participant on a Brownstown Little League team does not qualify for participation in the league based on residence and or age, such participant and/or team on which he/she participates be found ineligible, and forfeit(s) and suspension of Tournament privileges may be decreed by action of the Charter Committee or Tournament Committee. I/we agree that our child/player may be required to try out for a team/division. I/we understand that my/our child/player may be chosen at any time to play on a major team, if he/she is of the correct age and ability for such division as determined by Brownstown Little League and Littler League Baseball. Declining to move up to such major division will result in forfeiture of eligibility for the major division for the current season, and may be subject to further restrictions by Brownstown Little League. I/we will furnish a certified birth certificate of the above named player to Brownstown Little League Officials.

Parent(s)/Guardian(s) signatures: ______Date______

______Date______

SHIRT SIZE: ______Youth or Adult HAT SIZE Youth or Adult

Little League Baseball dose not limit participation in its activities on the basis of disability, race, color, creed, national, origin, gender, sexual preference or religious preference.

EMAIL:______