Player’s Name _______________________________ Birth Date_____________ Sex: M__ F__

Address: ___________________________________________ 2007 GHLL Team:_________________

City/State/Zip:_____________________________________ Home Phone: ____________________

e-mail address: ____________________________________________ (not shared outside GHLL)

Mother’s Name _________________________________ Work phone _________________

Father’s Name _________________________________ Work phone _________________

Insurance _________________________ Group #_________ Policy # ______________

Emergency Contact _______________________________ Phone: ___________________

Participation in Little League baseball requires the ability to run, throw, swing a bat and catch a ball. Additionally, participation requires the capacity to understand the rules of the game. Does your child have any current condition that limits their ability to participate in this activity? Yes ___ No ___

Please provide information about allergies or medical conditions, including medications, which the league or coach should know about, or that the team should have in case of emergency:

_____________________________________________________________________________________

I/We, the parent(s) guardian(s) of the above named candidate 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/softball may result in serious injuries, and that protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify and agree to hold harmless Gig Harbor American and National Little League, Little League Baseball, Inc., the organizers, sponsors, supervisors, participants and persons transporting my / our child to and from activities for any claim arising out of any injury to my / our child whether the result of negligence or for any other cause.

I/We agree to return upon request the uniform and other equipment issued to my / our child in as good a condition as when received except for normal wear and tear. I understand I will be billed for the uniform if I fail to do so.

I/We understand that if my / our child does not attend the try outs (Little League age 9 through 12), he or she will be randomly assigned to a Minor League team, and will not be eligible for the Major League draft.

____ Check here if you wish to become a Member of Gig Harbor Little League ($10)
____ Check here to contribute $10 to the GHLL Scholarship Fund

REGISTRATION FEES: $175 players age 13-16 --- $165 players age 8-12 --- $105 players age 7 (Coach Pitch) --- $65 players age 5-6 (T-Ball) --- $125 Girls Softball (ages 8-14)

Parent / Guardian _________________________________

Signatures: _________________________________