Welcome to Ellsworth Little League!
Family Information
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
List Player Name(s) AND D.O.B. (Ex. Jane Smith: 5-23-14)
*
Secondary Emergency Contact Name (parent will be contacted first)
*
First Name
Last Name
Secondary Emergency Contact Phone Number
*
Please enter a valid phone number.
Relationship to Player
*
Please list any medical conditions our coaches need to be aware of:
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Little League Teams (Please check the team that matches your child's age group and choose their shirt size.)
*
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( X )
T-Ball
Ages 4-6
$
25.00
Shirt Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Softball Peanut B
Ages 7-8
$
40.00
Shirt Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
Adult S
1
2
3
4
5
6
7
8
9
10
Adult M
1
2
3
4
5
6
7
8
9
10
Adult L
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Softball Peanut A
Ages 9-10
$
40.00
Shirt Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
Adult S
1
2
3
4
5
6
7
8
9
10
Adult M
1
2
3
4
5
6
7
8
9
10
Adult L
1
2
3
4
5
6
7
8
9
10
Adult XL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Baseball Peanut B
Ages 7-8
$
40.00
Shirt Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
Adult S
1
2
3
4
5
6
7
8
9
10
Adult M
1
2
3
4
5
6
7
8
9
10
Adult L
1
2
3
4
5
6
7
8
9
10
Adult XL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Baseball Peanut A
Ages 9-10
$
40.00
Shirt Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
Adult S
1
2
3
4
5
6
7
8
9
10
Adult M
1
2
3
4
5
6
7
8
9
10
Adult L
1
2
3
4
5
6
7
8
9
10
Adult XL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Softball Minors B
Ages 11-12
$
40.00
Shirt Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
Adult S
1
2
3
4
5
6
7
8
9
10
Adult M
1
2
3
4
5
6
7
8
9
10
Adult L
1
2
3
4
5
6
7
8
9
10
Adult XL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Softball Minors A
Ages 13-14
$
40.00
Shirt Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
Adult S
1
2
3
4
5
6
7
8
9
10
Adult M
1
2
3
4
5
6
7
8
9
10
Adult L
1
2
3
4
5
6
7
8
9
10
Adult XL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Baseball Minors B
Ages 11-12
$
40.00
Shirt Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
Adult S
1
2
3
4
5
6
7
8
9
10
Adult M
1
2
3
4
5
6
7
8
9
10
Adult L
1
2
3
4
5
6
7
8
9
10
Adult XL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Baseball Minors A
Ages 13-14
$
40.00
Shirt Size
Quantity
XS
1
2
3
4
5
6
7
8
9
10
S
1
2
3
4
5
6
7
8
9
10
M
1
2
3
4
5
6
7
8
9
10
L
1
2
3
4
5
6
7
8
9
10
XL
1
2
3
4
5
6
7
8
9
10
Adult S
1
2
3
4
5
6
7
8
9
10
Adult M
1
2
3
4
5
6
7
8
9
10
Adult L
1
2
3
4
5
6
7
8
9
10
Adult XL
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Payment Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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Acknowledgement and Consent Forms
CONCESSION STAND REQUIREMENT (Please Initial)
*
One person (age 15+) per registered family must work the concession stand for one home game. This does not have to be your player's home game. When schedules are issued, a sign-up sheet will become available. If a family does not sign up, a date will be assigned. Thank you!
I acknowledge that there will be no refunds for registration after April 15th, 2025. (Please Initial)
*
I, hereby, agree to abide by all rules of conduct set forth by the Ellsworth Little League. I understand that my behavior is to be positive in nature and reflect good sportsmanship and to not interfere with the games. I will refrain from any negative or abusive language directed at the players, coaches, umpires, spectators and all Chain of Lakes Little League staff. I understand that if I do not follow these guidelines, I may be asked by the coach or supervisor of the game to leave the facility and face further suspension from any future Ellsworth Little League sponsored events.
*
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Ellsworth Little League Photo Release Form
Permission to Photograph and Use Images
I, the undersigned, am the parent or legal guardian of the child(ren) named above. I hereby grant permission to Ellsworth Little League, its representatives, coaches, volunteers, and authorized personnel to take photographs and/or video recordings of my child during league activities, games, and events. I also grant permission for these images to be used in the following ways: on the official Village of Ellsworth website; in league newsletters, flyers, and promotional materials; on social media accounts officially managed by Ellsworth Little League; in local newspapers or other media covering league events. I understand that my child’s name may be published along with the image. I understand that the images will be used solely for league-related purposes and will not be sold or used for commercial gain. I waive any right to inspect or approve the finished images or printed/electronic matter that may be used now or in the future. This consent is given voluntarily and without expectation of compensation.
*
Submit Registration
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