Sections
  

     
 
Log in


Forgot your password?
 
     
 
 
You are here: Home → Registration → Player Registration Forms → Spring and Fall Seasons → Cactus Foothills North Online Player Registration Form

Cactus Foothills North Online Player Registration Form

CACTUS FOOTHILLS NORTH LITTLE LEAGUE

Player Registration and Medical/Photo Release Form - Data Collection Only

PLAYER INFORMATION
(Required)
Please select the division (baseball, girls softball, Little League Challenger) of play for the player. Challenger is a division for children with mental and/or physical challenges.



(Required)
(Required)
(Required)
(Required)
/ /
(Required)
Enter league age as of April 30th, 2009
(Required)


(Required)
(Required)
(Required)
(Required)
(Required)





(Required)
(Required)
(Required)
PARENT AND GUARDIAN INFORMATION
(Required)
(Required)
If different from above
If different from above
If different from above
If different from above
(Required)





If different from above
If different from above
If different from above
If different from above
If different from above
If different from above
If different from above





EMERGENCY CONTACT AND MEDICAL INFORMATION
(Required)
(Required)







(Required)
Include the primary phone number for immediate contact in case of an emergency
(Required)
(Required)
Include the primary phone number for immediate contact in case of an emergency
(Required)
(Required)
Please provide any information about allergies, medications, or medical conditions that the team should be aware of in case of an emergency.
(Required)
Participation in Little League Baseball and Softball activities requires the ability to run, throw, swing a bat and catch a ball. Additionally, participation requires the capacity to understand and obey the rules of the game. Does your child have any current condition that will limit His/Her ability to participate in this activity?


If you answered "YES" to the previous question, please explain and identify modifications that would enable your child to participate.
MEDICAL AND PHOTO AUTHORIZATION AND RELEASE
(Required)
By electronically accepting this waiver, I/We, the undersigned of the above named candidate for a position on a Little League team, hereby give My/Our approval to participate in any and all Cactus Foothills North Little League, Inc (CFLL) activities.I/We permit CFLL the right to take still and video images (photos) of the above named candidate for use in Little League sanctioned activities.

(Required)
By electronically accepting this waiver. I/We know that participation in baseball or softball may result in serious injuries and that protective equipment does not prevent all injuries to participants. By signing below, I/We and our assigns and heirs, do hereby waive, release, absolve, indemnify and agree to hold harmless CFLL, Little League Baseball, Inc, the organizers, participants, volunteers and persons transporting My/Our child to and from activities, for any claim arising out of injury to My/Our child, whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident or liability insurance.

(Required)
By electronically accepting this waiver, I/We, as the Parent or Legal Guardian of the candidate named above, attest to the truth fo the above information to the best of My/Our knowledge. I/We authorize any official representative of CFLL to take My/Our child, in the event of serious injury, to the nearest hospital or clinic emergency room. After reasonable attempts at contacting the physician named above for consultation, emergency treatment will be administered by the attending physician. I/We understand that CFLL provides partial medical coverage for those expenses not covered by my own medical coverage and only for injuries sustained during CFLL sanctioned events.

(Required)
By electronically accepting this waiver, I/We acknowledge having received a copy of the League's Parent Code of Conduct and agree to comply with it fully. I/We further understand that violations of the Code will not be tolerated and could result in disciplinary actions including suspension from all League activities. I/We have received, read and accept the League's Refund Policy (see refund policy on http://www.cfll-north.com for more details).

(Required)
By electronically signing the registration form with My/Our initials, I/We, as the Parent or Legal Guardian of the candidate named above, attest to the truth of the above information to the best of My/Our knowledge. I/We also agree to accept and abide by all waivers, policies, and conditions as noted above.
(Required)
/ /
     
 
« July 2010 »
July
SunMonTueWedThuFriSat
123
45678910
11121314151617
18192021222324
25262728293031