* First Name: *
* Last Name: *
* Gender: *
Male   Female
* Birthdate: *
 /   / 
*Email: * click for help
Enter Email Again: *
Day Phone: * ext.
Evening Phone: ext.
*Address Line 1: *
Address Line 2:
*City: *
*State: *
  
Outside USA: 
*Zip/Postal Code: *
2012 League Age:

Girls: What is the age of your daughter as of 12/31/2011?
Boys: What is the age of your son as of 4/30/2012?
Additional Child Information
Enter the player's 2012 League Age *
(see above for help determining the League Age)
Grade *
(as of April 2012)
Boys Shirt Size * click for help
Boys Pants Size * click for help
Girls Shirt Size * click for help
Girls Shorts Size * click for help
Height
(In inches - Example 68)
Weight
(In pounds - Example 125)
School Name
IMPORTANT: did your child play in our league last year? *
(If "No", click this blue question mark -->) click for help
Yes
No
Would your child like to play Fall Baseball or Softball?
Yes
No
Not Sure
Web Site Photo Release
Yes
No
Parent/Guardian Information
Parent #1 First Name *
Parent #1 Last Name *
Parent #1 Relationship *
Parent #1 Email *
Parent #1 Home Phone *
(269-555-1212)
Parent #1 Cell Phone
(269-555-1212)
Parent #1 Work Phone
(269-555-1212)
Parent #1 Occupation
Parent #1: Which role or committee would you like to volunteer for? *
Team Parent
Umpire
Concession Stand
Opening Day Help
Facilities/Maintenance
Fund Raising
I am unable to volunteer
Parent #1: Are you interested in coaching or managing for this age group?
Manager
Coach
Parent #2 First Name
Parent #2 Last Name
Parent #2 Relationship
Parent #2 Email
Parent #2 Home Phone
(269-555-1212)
Parent #2 Cell Phone
(269-555-1212)
Parent #2 Work Phone
(269-555-1212)
Parent #2 Occupation
Parent #2: Which role or committee would you like to volunteer for?
Team Parent
Umpire
Concession Stand
Opening Day Help
Facilities/Maintenance
Fund Raising
I am unable to volunteer
Parent #2: Are you interested in coaching or managing for this age group?
Manager
Coach
Emergency Contact/Medical Information
Emergency Contact Name *
Emergency Contact Relationship to Child *
(Example: Grandparent, Aunt, Uncle, etc.)
Emergency Contact Phone *
(269-555-1212)
Medical Insurance Company
Policy Number
Medical Comments
(Allergies, Medical Condition, Medical Concerns, etc.)
Please Help to Improve RLL
RLL would like to hear your fundraising ideas:
Do you have any suggestions for improving this registration process?
Please enter any additional information you might wish to provide:
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