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Little League Registration 2021

REGISTRATION FOR THE 2021 BASEBALL SEASON IS NOW OPEN FOR LITTLE LEAGUE (3RD-6TH GRADE).  PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD BY FRIDAY, MARCH 24TH.  PLEASE COMPLETE THIS FORM AND REMIT PAYMENT.

THE SEASON WILL BEGIN ON APRIL 11th.

PARENTS INFORMATION

EMERGENCY CONTACT INFORMATION
In the event of an emergency, we will attempt to contact a parent by phone at the numbers provided above. Please also provide the names and phone numbers of two additional emergency contacts to be used if we are unable to make contact using the numbers above. Additionally, please provide the names and numbers of your pediatrician and dentist.
In the box above, please note any important medical information concerning your child’s medical history, including allergies, medications being taken or any other information to which a physician or emergency medical personnel should be alerted.

PLAYER INFORMATION

We are in need of volunteer coaches.

MANDATORY

MANDATORY

OPTIONAL
(worn beneath Jersey)

MANDATORY FOR GRADES 5-8
(comes w/sox)

REPLACEMENT
(if needed)


I authorize my children to participate in regular and ongoing youth programs at and with the Young Israel of Jamaica Estates and to participate in all trips and athletic leagues to which I give my written consent. I understand that in the event of a medical or other emergency, YIJE personnel will attempt to contact me and/or authorize emergency treatment as described above. I will not hold the Young Israel of Jamaica Estates, its members, officers or employees responsible for any such medical emergency or treatment thereof.

I further understand that my child will not be permitted to participate in this or any program until the above consent is submitted in writing.

Please enter full name of parent that completed this form
Sat, April 10 2021 28 Nisan 5781