Little League Player Registration Form

Emergency Contact Information
Relation to Athlete
Phone Number

Area CodePhone Number
I hereby declare that I give my full express consent to let my child be given immediate treatment by any qualified medical personnel in circumstances which may need immediate attendance and care.

Medical Information
In case the parent/guardian is out of reach at the time of emergency, with consent of the latter, we will exercise the required diligence needed to have the athlete treated by an E.R Physician. In this regard, we would like to get to know any precautions that we need for the athlete

Parental/Guardian Consent
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

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Name

First NameLast Name
Email
example@example.com
Email
example@example.com
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Lady Outlaws Tryouts Registration