Printable Registration Form

Player Information: League Age: Name: Phone: DOB: Sex (M or F) : Address: City : State/Province: Zip Code: Emergency contact name number (Other than a parent): Returning Player Yes or No If yes, please answer the following: Previous Spring Season Level Played: T-ball Machine Pitch Minors Majors Juniors Seniors Minors and above, please state what team/Manager: Will your child be available June 15 thru July 31to represent DCLL if your son/daughter is selected for All Stars Yes or No Parents Father/Guardian Name: Mother/Guardian Name: Cell Phone: Cell Phone: E-mail: E-mail: DCLL is a non-profit organization.. I know that participation in baseball 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 Dale City Little League, Little League Baseball Incorporated, the organizers, sponsors, supervisors, participants and persons transporting my child whether result of negligence or for any other cause..