Player Registration Form

Player Information

All fields are required.

First Name:

Last Name:

Address:

City:

State:

Zip Code:

League Age:

Birthdate:

In Case of Emergency, Contact

Name:

Phone:

Parent / Guardian Information

Name:

Phone:

Email:

Please Check the Sessions you would like to Register for:

1 - Sun 1/12/20 $102 - Sat 1/18/20 $103 - Sun 1/26/20 $104 - Sun 2/2/20 $105 - Sun 2/9/20 $106 - Sat 2/29/20 $10

Medical Release

My child has been examined by a physician and has my consent to participate in this clinic. I hereby release the clinic director(s), volunteers, Nauset Little League, and Nauset Regional High School from any and all liability for any injuries incurred to the participant, myself or my invitees.

Parent / Guardian Signature: