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You must fill out all mandatory fields!

 

Player Information
First name: Last name: Gender:
Birth date: You must use this format: mm/dd/yyyy; for example 01/15/2002 Shirt size:
Throws: Previous division: Number of years in Little League:
Child lives with: Child's school: Grade in school:
Parent or Legal Guardian Information
Guardian 1 (e.g., Mother)
First name: Last name:
Relationship to child: Volunteer:  Volunteer? 
Street address: Apartment: (optional)
City: State:
ZIP code: Home phone: (optional)
Cell phone: (optional) Work phone: (optional)
Occupation: (optional) E-mail address:
Guardian 2 (e.g., Father)
(check to use Guardian 1 home address info for Guardian 2 / Father)
First name: Last name:
Relationship to child: Volunteer:  Volunteer? 
Street address: Apartment: (optional)
City: State:
ZIP code: Home phone: (optional)
Cell phone: (optional) Work phone: (optional)
Occupation: (optional) E-mail address:
Medical Release Form Information
Doctor/Physician's name: Doctor/Physician's phone:
Preferred hospital: (optional) Medical problems / allergies: (optional)
Insurance carrier: Insurance policy number:
Emergency contact: Emergency contact phone:
Relationship to player: (optional)  
Special Requests
Note: Every effort will be made to place your player as you request; however, certain restrictions, such as team size, age differences, etc. may prevent us from completing every request. Indicating special requests on this form does NOT guarantee the requests.
Special request: (optional)
Parent or Legal Guardian Consent
Before your child can play, you must agree to and initial the following:
Consent for Participation
- I/We certify that I am the parent or legal guardian responsible for the abovementioned participant.
- I/We agree to pay a fee for league expenses, field maintenance, player insurance and player photographs.
- I/We, the parents/guardians of the above-named participant 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 and protective equipment does not prevent all injuries to players, and do hereby waive, I understand that Little League Baseball carries a secondary insurance policy that will be used when the limits of my own insurance policy have been exhausted. I will be responsible for reporting all of the participants injuries (on or off the field) to theTeam Safety officer in writing as soon as an injury occurs.
- I/We agree that our child/participant may be required to try out for a team. If such child does not attend at least 50 percent of the tryouts, local Board-of -Directors' designee approval is required for such child to be placed on a team.
- I/We understand that our child/participant may be chosen at anytime to play on a higher 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 higher division team will result in forfeiture of eligibility for the said division for the current season, and may be subject to further restrictions by the local league.
- I/We understand that our child (candidate) must be eligible under the residence and age regulations of Little League Baseball, Incorporated, to participate in Capitola Soquel 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 agree to provide proof of legal residence (as defined by Little League Baseball, Incorporated) and age.
- I/We further understand that if any participant on a Little League team does not qualify for participation in the league based on residence (as defined by Little League Baseball, Incorporated) and/or age, such participant and/or team on which he/she participates will be found ineligible of Tournament privileges. As the parent or legal guardian of the above named player, I/we hereby give consent for the emergency medical care prescribed by a duly licensed Doctor of Medicine/Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of my dependent.
- As the parent or legal guardian of the above named player, I/we hereby give consent for CSLL baseball to use photos of my dependent to be used in the CSLL Yearbook and/ or CSLL website.
Legal Guardian Name: Legal Guardian e-mail:
 By selecting this checkbox, I agree to the terms and conditions expressed in the Consent for participation in the above section. Date: