Poquoson Little League Player Registration

 

Player Information

  First Name*

  Middle Name*

  Street Address

  Last Name*

  Apartment Number/Suite

  Nickname*

  City

  Birthday

  State/Province

  Home Phone

  Zip/Postal Code
  Division Preferred: 
Parent/Guardian  Information

  Relationship to Player

     Address is same as Player (if it is, you do not need to complete this section)

  First Name*

  Street Address

  Middle Initial*

  Apartment Number/Suite

  Last Name*

  City

  Daytime Phone:

 ext

   State/Province
  Home Phone:    
  E-mail   Zip/Postal Code

 

 Volunteer Opportunities (Check all you are interested in)

You will need to complete a volunteer form, provide a government issued ID, and permit Little League to complete a background check

 Manager     Coach     Team Parent     Concessions       Umpire       Facilities/Maintenance       Board Member       Contact Me
Second Parent/Guardian  Information

  First Name*

     Address is same as Player (if it is, you do not need to complete this section)

  Middle Initial*

  Street Address

  Last Name*

  Apartment Number/Suite

  Daytime Phone:

 ext

   City

  Home Phone:

  State/Province
  E-mail   Zip/Postal Code

Relationship to Player 

Volunteer Opportunities (Check all you are interested in)

You will need to complete a volunteer form, provide a government issued ID, and permit Little League to complete a background check

 Manager     Coach     Team Parent     Concessions       Umpire       Facilities/Maintenance       Board Member       Contact Me
 
Emergency Contact Information

  First Name*

  Last Name*

  Daytime Phone:

 ext

    

  Home Phone:

Click here if you have only 1 player  
Additional  Player Information ($10 reduction given for each additional player)

  First Name*

   Address is same as First Player (if it is, you do not need to complete this section)

  Middle Name*

  Street Address

  Last Name*

  Apartment Number/Suite

  Nickname*

  City

  Birthday

  State/Province

  Home Phone

  Zip/Postal Code
  Division Preferred:  Click here if you done entering Additional Player information
2nd Additional Player Information

  First Name*

   Address is same as First Player (if it is, you do not need to complete this section)

  Middle Name*

  Street Address

  Last Name*

  Apartment Number/Suite

  Nickname*

  City

  Birthday

  State/Province

  Home Phone

  Zip/Postal Code
  Division Preferred:  Click here if you done entering Additional Player information
3rd Additional Player Information

  First Name*

   Address is same as First Player (if it is, you do not need to complete this section)

  Middle Name*

  Street Address

  Last Name*

  Apartment Number/Suite

  Nickname*

  City

  Birthday

  State/Province

  Home Phone

  Zip/Postal Code
  Division Preferred:  Click here if you done entering Additional Player information
4th Additional Player Information

  First Name*

   Address is same as First Player (if it is, you do not need to complete this section)

  Middle Name*

  Street Address

  Last Name*

  Apartment Number/Suite

  Nickname*

  City

  Birthday

  State/Province

  Home Phone

  Zip/Postal Code
  Division Preferred:  5 players? you will need to register the remainder in a different session.

Thank you for your completing this form, you will need to select the Submit Request Button below to complete the registration.  You will be sent to a confirmation page that will have additional information on it.  You should print the confirmation page as a reminder of important dates and activities.

 

Remember: 

You will need to complete additional Medical Release forms for your child prior to the first practice.  You can download the form here.  To ensure your privacy, we do not accept these forms on this site.

 



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Revised: 01/13/10.