Orangevale Little League
2005 Registration Form

 
The fees for 2005 are as follows:
 
Junior Division (13-14 yr olds*)  $100     -$10 Early Registration by 12/31/04 = $90
Major & Minor A Division (8-12 yr olds*) $85       -$10 Early Registration by 12/31/04 = $75
Minor B Division / Coach Pitch (6-8 yr olds*) $45      -$10 Early Registration by 12/31/04 = $35
T-Ball Division (5-6 yr olds*) $20
 $5.00 discount for each additional sibling. 
Discount does not apply to multiple siblings playing in the Junior or T-Ball Divisions.
*All ages stated above are determined by the player's league age. League age will be determined by the player's age as of July 31, 2005. 
 
Player's Birth Date    //
Player's Legal Name Last   First  
Player's Nickname (if different)  
 
Mother's/Guardian's Name Last   First  
Daytime Phone   Home  
eMail Address  
 
Father's/Guardian's Name Last   First  
Daytime Phone   Home  
eMail Address  
 
Child lives with: Mother Father Both Guardian
 
Primary Address City Zip
Secondary Address City Zip
 
School Grade    
 
Has your child played in OVLL before? YES    NO If so, how long?
Last level of play: T-Ball Minor B/Coach Pitch Minor A Majors Juniors
Team
Who referred you?
 
Parent participation is required in order to keep costs down and insure efficient operation of OVLL. All parents must provide a minimum of 6 (six) hours of volunteer time per player. 

We have many exciting and interesting positions that you can assist us with. Please check as many of the boxes below as you would like and we will contact you with more information after registration. Thank you!
Manager Coach Team Parent
Umpire Scorekeeper Roster Book Committee
Board Member Opening Day Committee Equipment Distribution & Collection
Publicity Committee Sponsorships Committee Snack Bar Coordinator
Fireworks Booth Pre-Season Field Preparation  Fundraiser Committee
Misc. Painting Projects End of the Season Committee  Misc. Carpentry Repairs
Division Representative Team Parent Coordinator Players Agent
Treasurer Uniform/Trophy Coordinator Safety Manager
Parent Orientation Committee Registration Committee Flyers/Brochures Coordinator
Other
 
Please read carefully:  

I/We as parent(s)/legal guardian(s) hereby give approval for the above named player to participate in any and all Orangevale Little League activities, including, but not limited to, transportation to and/or from the activities.

I/We 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 Orangevale Little League and Senior League, Little League Baseball Incorporated, the organizers, sponsors, supervisors, participants and persons transporting my/our child to and/or from activities from any claim arising out of any 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.

I/We agree to return upon request the uniform and/or any other equipment issued to my/our child in the same condition as it was received except for normal wear. I/We understand that I/We are financially responsible for any equipment that is lost, stolen, or willfully damaged by any action directly and undoubtedly related to that of  my/our child.

I/We will furnish a certified birth certificate of the above named player and Proof of Residence to League Officials prior to the start of the playing season.
 
Parent/Guardian's Signature Date
Parent/Guardian's Signature Date
 
 
 

Little League Baseball

Medical Release

NOTE: To be carried by any Regular Season or Tournament Team Manager
together with team roster or eligibility affidavit.
 
Player Name Date of Birth
League Name  Orangevale Little League League Phone 916-537-2242
 

Parent or Guardian Authorization
In case of emergency, if family physician cannot be reached, I hereby authorize my child to be treated
by Certified Emergency Personnel (i.e. EMT, First Responder, E.R. Physician).
 
Family Physician Physician Phone
Physician Address
Hospital Preference
 

In case of emergency, contact:
Name Phone Relationship
Name Phone Relationship
 
Please list any allergies/medical problems, including those requiring maintenance medication.
(i.e. Diabetic, Asthma, Seizure Disorder)

Medical Diagnosis

Medication

Dosage

Frequency
       
       
       
       
       
The purpose of the above listed information is to ensure that medical personnel have
details of any medical problem which may interfere with or alter treatment.
Date of last Tetanus Booster  
 
Print Name Here
Parent/Guardian Signature Date
 
WARNING: Protective equipment cannot prevent all injuries a player might receive while participating in Baseball.
Little League Baseball does not limit participation in it's activities on the basis of disabilities,
race, color, creed, national origin, gender, sexual preference or religious preference.