REYNOLDSVILLE CENTRAL LEAGUE APPLICATION TO PLAY LITTLE LEAGUE

www.reynoldsvillelittleleague.com

Shirt Size: _______________          Pants Size: ________________
____$15.00 Entry Fee per player          ____$5 per - family Concession stand

VOLUNTEERS NEEDED!! ! ! !

I would like to help with:

___Concession Stand ___Field Workday ___Umpire Games ___Practice/games

Player Information

Name: __________________________        Birth Date: _____/_____/ ______
__M   or __F  __Baseball  or __Softball  __ T-Ball   Age at August 1, 2004  ____

For T-Ball – players must be 5 years old by Febuary 1, 2004

Address:___________________________________ Phone: ________________

Last Year's League:_________________________     Team:_________________
Trying out for new league this year ?  ___Yes   ___No   E-mail ________________
Does your child have any current condition that limits his or her ability to participate in little league? _____Yes   _____No  If yes, please explain___________________________________________

_____________________________________________________________________________


Please provide any allergies or medical conditions that we should know in case of emergency._____________________________________________________________________
 
I/We, the parent(s) of the above named candidate 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 facilities.
 
I/We know that participation in baseball or softball may result in serious injuries and protective equipment does not prevent all injuries to players.  I/We do hereby waive, release, absolve, indemnify and agree to hold harmless, the local Little League, Little League Baseball, sponsors, organizers, participants, and persons transporting my/our child to and from activities, for any claim arising out of any injury to my/our child whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident or liability insurance.
 
I/We understand that my/our child will be drafted according to the RCLL rules and I/We will abide by the results.
 
I/We agree to return in a timely manner all uniforms and equipment issued to my/our child.
 
I/We understand that my/our child may be selected or not selected for a position on an All Star team. I/We understand that this selection process is totally dependent upon his/her ability and will abide by the results.
 
Parent(s)/Guardian Signature:________________________________________
Family Hospitalization Plan:_________________________________________
School:____________________________     Date: _____/_____/ 20____
 

Please mail to:
Reynoldsville Central Little League P.O. Box 54 Reynoldsville, PA 15851