DANVILLE LITTLE LEAGUE

WEB SITE:
For Children Ages 4-16 (see website for age chart)

Danville Little League is sponsored in part by Danville Parks and Recreation

Player’s Name:______□Male □Female - MainPhone #______

Birth Date:____/____/______League Age:_____ Birth Certificate # ( T-Ball Only)______

Mother’s Name:______Phone#:______Father’s Name:______Phone#______

Mother’s cell #______Father’s cell# ______

Email address:______Email address: ______

Address of Residence:______City:______Zip:______

(IF FALSE ADDRESS IS USED, Eligibility to play in Danville Little League will be FORFEITED)

Have you moved since playing for Danville LL (2015) season?□Yes□No? If yes, your previous Address:______


Last Year’s SpringTeam and Division______(T-Ball, Coach Pitch, Minor, Major, or Senior).

Participation in Little League requires the ability to run, throw, swing a bat and catch a ball. Additionally, participation requires the capacity to understand the rules of the game. Does your child have any current condition that limits his/her ability to participate in this activity? □Yes □No

Please provide information about allergies or medical conditions that the team should have in case of emergency:

______

Name of individual to contact in case of emergency:______

______

Address:______Phone:______

Name of Family Hospitalization Plan:______Policy #:______

Family Physician Name:______Phone:______

I/We hereby grant consent to any and all health care providers designated by Danville Little League to provide care for my child.Parent or Legal Guardian Signature:______


Except for high school baseball, participation in Danville Little League must comefirst,before all other youth baseball programs. Constitution Section III (a, and b ). By signing below Parent’s agree.

All parents or legal guardians and players must participate in the Danville Little League Fundraisers By your signature, you are obligated to participate, and, to turn in all fundraiser monies.

Parent’s Signature (must sign):______Date:______


I/We, the parents/guardians in consideration of ______, my child/ward, for a position on a Little League team, hereby give my/our approval to participate in any and all Little League activities, including transportation to and from the activities.

I/We know that participation in baseball or softball may result in serious injuries, including the potential for permanent disability and death, and protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify and agree to hold harmless Danville Little League, Little League Baseball, Incorporated, the organizers, sponsors, supervisors, participants and persons transporting my/our child to and from all activities for any claim arising out of any injury to my/our child whether the result of negligence or for any other cause.

I/We agree that our child (candidate) may be required to try out for a team. If such candidate does not attend at least one half of tryouts, I/We understand that such candidate may not be placed on a team, and may not be eligible to play in the little league for the current season.

I/We understand that our child (candidate) may be chosen at any time 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, Inc. 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 require reassignment to another Minor Division team.

I/We will furnish a certified birth certificate of the above named candidate to League Officials.

Parent or LegalGuardian Signature (must sign):______Date:______

IMPORTANT INFORMATION, PLEASE READ!

Would you like to have your name presented to the Board to be a Manager ___ Coach___Either____ Print Name:______Phone #______

All volunteers are subject to a background check.

Little League International requires every volunteer, regardless of position, to complete a Volunteer Application (including a photo ID) before beginning the season.( as well as try outs).

SPECIAL REQUESTS TO BE ON A CERTAIN TEAM WILL NOT BE CONSIDERED EXCEPT FOR BROTHERS AND SISTERS.


ALL STAR SPORTS During Regular Business Hours February 1- March 12, 2016.

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Parks and Recreation, Sports and Athletics (Squire Armory, North Main Street)M-F March 1 -March11.




ABSOLUTELY NO REFUNDS WILL BE ISSUED