Baseball Registration Form Great Neck Little League Registration Form
      * Last Name
* First Name
* Age
* Date of Birth mm/dd/yyyy
* Address
* City
* State
* Zip Code
* Parents / Guardians
* Home Phone
* Cell
* Work
* Email
* Emergency Contact
* Relationship
* Phone
T-Shirt Size:   YS     YM     YL     YXL     AS     AM     AL     AXL
* T-Shirt Size
  Pant Size:   YS     YM     YL     YXL     AS     AM     AL     AXL
* Pant Size
Friend Requests
Coach request
* Great Neck Park District Resident
(Yes or No):

Release of Liability: The undersigned hereby acknowledges that participation in this program and related activities involves inherent risk of physical injury, and the undersigned, on behalf of the registrant, hereby assumes all such risk and does hereby release and forever discharge this program and all agents thereof, resulting from the registrant’s participation in or involvement with this program, including any failure of equipment or defect on premises. I give the administrators in charge the authority to seek medical treatment for my child in case of an emergency. I hereby state that I am the legal guardian of said child.

Once you hit the submit button, you will have signed electronically.

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