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2019registrationformwll.doc 1.pdf

Westbrook Little League - Softball & Baseball

2019 Registration Form

Eligibility:

  • Must reside in Westbrook (a false statement of residence may lead to ineligibility to play in the Westbrook Little League)

  • Must have been born between September 1st 20014 andDecember 31st, 2006 for Baseball.

  • Must have been born between January 1st, 20012 and December 31st, 2002 for Softball

  • Must provide birth certificate as proof of age at time of registration & be accompanied by an adult

Player’s Name __________________________________Gender:  ___M or F___   DOB _________________

Address _________________________________ E-Mail___________________________________________

If re-registration, Name of 2018 team: __________________________________________________________

If Brother/Sister in Little League, their name: _______________________ Team Name: __________________

Parents Name _______________________________________ Home# ______________Cell#_____________

Are you interested in volunteering?  ____ Yes ____ No If Yes Name ________________________________

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MEDICAL RELEASE FORM

In case of emergency, if “Emergency Contacts” and/or family physician cannot be reached, I hereby authorize my child, ___________________________________, to be treated by another available physician.

First Emergency Contact: ________________________Phone #_______________Relationship_____________

Second Emergency Contact: ______________________Phone #_______________Relationship_____________

Please list any Illnesses, Medications or Allergies:_________________________________________________

Parent or Guardian’s Signature: _________________________________Date: __________________________

Name of Child’s Primary Physician: _____________________________ Phone # (very important):____________

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MEDIA RELEASE FORM I, ______________________ hereby give permission to WLL, to use photographs of my child in any publication, media release or promotional announcement, electronic or otherwise. I understand that I will not receive any compensation if such image appears in such publication, media release or promotional announcement, electronic or otherwise. I agree that such image is the property of WLL. I understand that WLL will not supply this image for use in any commercial venture or advertisement not published/produced for/by Little League without my permission, unless such publication or production is by a Corporate Sponsor of Little League, and only if the publication or production is directly related to and in support of Little League.


FOR LEAGUE USE ONLY

Age/League

Fee

Tryouts

Yes/No

Re- Reg

Yes/No

League Age

Birth Cert Checked

Yes/No

Shirt Size

Youth/Adult

S, M, L

Pant Size

Youth/Adult

S, M, L

Paid

Check or Cash


4-6 T-Ball

$35








6-8 Instructional Baseball

$35








7-12*Minor Baseball

$90








9-12Major Baseball

$90









6-9*Minor Softball

$90








9-12Major Softball

$90








13-16Senior/Junior Softball

$90








* Six-year-olds are allowed to play Instructional with one year of T-Ball experience.  After two years of instructional the player has a choice to move up to Minors. Anyone else who is between the ages of 7 & 9 with no baseball experience will be screened for placement at a later date in order to ensure safety of the players in the league and to assist with balancing the teams.

 Visit: http://tshq.bluesombrero.com/westbrookmelittleleague

Please make checks payable to Westbrook Little League.  

A $10 discount for each child in family applies after the first registered child.


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Contact Us

Westbrook Little League

429 Bridge St. 
Westbrook, Maine 04092

Email Us: [email protected]
Phone : 207-939-8070
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