Fall 2022 Norwalk Legion Registration
13U-18U
Name of Athlete
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Position
Pitcher
Catcher
First Baseman Second Baseman Third Baseman Shortstop
Left Fielder, Center Fielder Right Fielder
Name of School
Back
Next
Emergency Contact Information
Name of Emergency Contact
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relation to Athlete
Back
Next
Medical Waiver
Allergies/Medical Conditions? Please Explain.
Emergency Treatment Parental Consent
I give my express and full permission to have my child treated by any qualified medical personnel, in case of any circumstance that such attendance be so required to do the following:
To secure necessary emergency medical care for my child.
Waiver
I am aware that any physical sport activity may cause accidental injury or harm among the athletes, and I assume any and all possible risk that may cause injury, illness, or death arising to such activity. I agree to waive my right to pursue any claim against the Commission and the Organizing Committee of this event.
Signature of Parent / Guardian
Clear
Name
First Name
Last Name
Submit
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