Lyons Township Little League 2007 New Player Registration Form

First Name:  Last Name:       
Street Address:  Unit/Apartment: 
City:  State:  Zip: 
Phone: 
Birth Date:  Age as of 4/30/2007: 
Gender: 
School:  Grade: 
Mother's Name:  Father's Name:        
Mother's Employer:  Father's Employer:   
Mother's E-mail:  Father's E-mail:        

I understand that Little League Baseball uses myteam.com as its official online network. I have read and understand the myteam.com Privacy Policy notice that has been provided to me pursuant the Children’s Online Privacy Protection Act and hereby give my consent to the collection and use of personal information about my child to enable him/her to become a member of www.ltllbaseball.com.

Give Consent 
Decline Consent 

I hereby agree to allow my child to play on any team to which he/she is assigned by league officials. If my child decides to quit after teams have been formed, I understand my money will not be refunded. I hereby agree to allow my child to play baseball and I understand that I am responsible for transportation to and from games and practices. It is my responsibility to inform the team manager as far in advance as possible if and when my child will miss a game or practice.

WAIVER AND RELEASE OF ALL CLAIMS: By registering your child/ward for participation in baseball, you will be waiving and releasing all claims for injuries your child/ward might sustain arising out of the activities connected with baseball.

I recognize and acknowledge that there are certain risks of physical injury to baseball participants and I agree to assume the full risk of injuries, including death, damages, or loss which my child/ward may sustain as a result of participating in baseball. I agree to waive and relinquish all claims my child/ward may have as a result of participating in baseball against the Lyons Township Little League, board members, managers, coaches, other participants, and providers. I do hereby fully release and discharge the Lyons Township Little League, board members, managers, coaches, other participants, and providers from any and all claims from injuries, damage, or loss which my child/ward may have or which may occur on account of participation in baseball. I further agree to indemnify and hold harmless and defend the Lyons Township Little League, board members, managers, coaches, other participants, and providers from any and all claims resulting from injuries, damages, and losses sustained by my child/ward arising out of, connected with, or in any way associated with the activities of the baseball program.

In the event of any emergency, I authorize the Lyons Township Little League or its representatives to secure from any licensed hospital, physician and/or medical personnel any treatment deemed necessary for my child/ward's immediate care and agree that I will be responsible for payment of any and all medical services rendered.

I have read and fully understand and agree to the above stated conditions of participation.