1. I/We, the parents/guardians of the above-named candidate for a position
    on a Little League team, hereby give my/our approval to participate in any
    and all Little League activities, including transportation to and from the
    activities.
2. I/We know that participation in baseball or softball 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 the local Little League, Little League Baseball, Incorporated, the
    organizers, sponsors, supervisors, participants, and persons transporting
    my/our child to and from activities from any claim arising out of any injury
    to my/our child whether the result of negligence or for any other cause.
3. I/We agree to permit my child's photograph to be posted at
    www.bethpagebaseball.org.
4. I/We agree to notify my child's coach of any medical condition or allergy
    my child may have.
5. I/We understand that our child (candidate) may be chosen at anytime to
    play on a Major Division team, if he or she is of the correct age for such
    division as determined by the local league and Little League Baseball.
    Declining to move up to such Major Division team will result in forfeiture
    of eligibility for the Major Division for the current season, and may be
    subject to further restrictions by the local league.
6. I/We agree to provide proof of legal residence (as defined by Little
    League Baseball, Incorporated) and age. I/We understand that our child
    (candidate) must be eligible under the residence and age regulations of
    Little League Baseball, Incorporated, to participate in this Local League,
    and that if any controversy arises regarding residence and/or age, the
    decision of the Charter Committee in Williamsport shall be final and
    binding. I/We further understand that if any participant on a Little League
    team does not qualify for participation in the league based on residence (as
    defined by Little League Baseball, Incorporated) and/or age, such
    participant and/or team on which he/she participates be found ineligible,
    and forfeit(s) and/or suspension of Tournament privileges may be decreed by
    action of the Charter Committee or Tournament Committee.
7. I/We will furnish a certified birth certificate of the above-named
    candidate to League Officials.
8. I/We certify that all information is true and correct to the best of my
    knowledge.

  I confirm that I have read and agree to be bound by the Terms and Conditions.

Please provide us with your initials which consitutes your digital signature.