P.A. Nationals - Registration Form (L

Step 1: Package Step 2: Age Step 3: Volunteer Step 4: Registration Step 5: Payment

Step 1

Players have the option of selling BOGO Golf Cards, OR, Opting out by paying the Buy Out Fee.

Fundraising Is Mandatory

Minor - Major will be asked to sell 6 BOGO golf/food cards at a cost of $15 each (totalling $90). These MUST be paid for at registration. When you sell them you keep the money. A $45 buy-out option is available.
T-Ball & Coach Pitch will be asked to sell 3 BOGO golf/food cards at a cost of $15 each (totalling $45). These MUST be paid for at registration. When you sell them you keep the money. A $25 buy-out option is available.
18U - 15U will be asked to sell 6 BOGO golf/food cards at a cost of $15 each (totalling $90). These MUST be paid for at registration. When you sell them you keep the money. A $45 buy-out option is available.

Select Package

BuyOut Fundraise

Next Step

Step 1: Package Step 2: Age Step 3: Volunteer Step 4: Registration Step 5: Payment

Step 2

Format MUST be: 2019/01/01 Format: yyyy/mm/dd

Player Birthdate

Use the Date Picker to ensure proper format. Click the field to show Calendar, click away to hide.

Next Step

Restart Registration

Step 1: Package Step 2: Age Step 3: Volunteer Step 4: Registration Step 5: Payment

Step 3

Would you like to volunteer?

Yes No

What kind of volunteer?

Umpire Coach Assistant Coach

Next Step

Restart Registration

Step 1: Package Step 2: Age Step 3: Volunteer Step 4: Registration Step 5: Payment

Player First Name:

Player Last Name:

Date of Birth:

Age (If you are 13 yrs as of September 1st you will still be considered 12 years old for the season)

Gender:

League:

Shirt Size (Only for T-Ball & Coach Pitch)

Parent / Gaurdian First Name:

Parent / Gaurdian Last Name:

Phone:

Email: ( Copy of registraion sent to this email )

Parent / Gaurdian First Name:

Parent / Gaurdian Last Name:

Phone:

Street Address:

City:

Province:

Postal: (format: P7B 3C1)

Requests: ( MAX 250 Characters )

Little League Disclaimer

I/We the parents/guardians pf 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 or softball may result in serious injuries and protective equipment does not prevent all injuries to players and do hereby waive, release, absolve, indemnify and agree to hold harmless the local Little League�, Little League� Baseball Canada, Little League� Baseball, Inc., the organizers, sponsors, supervisors, participants and persons transporting my/our child to and from activities from any claim arising out of any injury to my/our child whether the result of negligence or for any other cause.
I/We agree that our child (candidate) may be required to attend a skills evaluation clinic. Based on this evaluation and/or league play performance review, the child (candidate) may be moved to a different division to prevent injury to themselves or others.
If applicable, I/We agree to return upon request the uniform and other equipment issues to my/our child in as good conditions as when received except for normal wear and tear.
I/We will furnish a certified birth certificate and/or proof of residency of the above-named candidate to League Officials.
I/We understand that my information as the parent or guardian of such above-named candidate is sent by the local league to Little League� Baseball Canada and Little League� International each year. Such use of information by Little League� Baseball Canada and Little League� International can be found at http://www.littleleague.ca/view/llcanadanational/privacy-policy-12. You may opt-out of communications from Little League� Baseball Canada and Little League� International at any time.

COMMUNICABLE DISEASE EXCLUSION

(For use on liability policies)

1. Notwithstanding any provision to the contrary within this policy, this policy does not cover all actual or alleged loss, liability, damage, compensation, injury, sickness, disease, death, medical payment, defence cost, cost, expense or any other amount, directly or indirectly and regardless of any other cause contributing concurrently or in any sequence, originating from, caused by, arising out of, contributed to by, resulting from, or otherwise in connection with a Communicable Disease or the fear or threat (whether actual or perceived) of a Communicable Disease.
2. For the purposes of this endorsement, loss, liability, damage, compensation, injury, sickness, disease, death, medical payment, defence cost, cost, expense or any other amount, includes, but is not limited to, any cost to clean-up, detoxify, remove, monitor or test for a Communicable Disease.
3. As used herein, a Communicable Disease means any disease which can be transmitted by means of any substance or agent from any organism to another organism where:
3.1. the substance or agent includes, but is not limited to, a virus, bacterium, parasite or other organism or any variation thereof, whether deemed living or not, and
3.2. the method of transmission, whether direct or indirect, includes but is not limited to, airborne transmission, bodily fluid transmission, transmission from or to any surface or object, solid, liquid or gas or between organisms, and
3.3. the disease, substance or agent can cause or threaten bodily injury, illness, emotional distress, damage to human health, human welfare or property damage.

LMA5396
17 April 2020

Disclaimer Agreement: Yes, I Agree

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Player Age:

League:

Total Amount: $

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