GLL Registration Form

Step 1 of 10
*Required Field

Player Information: Player #1

Enter the requested information for the first child you are registering. You will have the opportunity to register up to two more children, if desired.
First Name:
Last Name:
Address:
City:
Zip:
Home Phone Number:
Alternate Phone Number:
Date Of Birth:
Known Allergies:
Medical Conditions:
Age Group (As Of 1/1/12):
T-Shirt Size:
Experience In Travel?: # of Years: Position:
Experience In All Stars?: # of Years: Position:
Experience In Pitching?: # of Years:
Experience In Catching?: # of Years:
Step 2 of 10
*Required Field

Player Information: Player #2

This step is OPTIONAL. Check the box below and enter the requested information if you want to register a second child on this registration. If not, leave the box blank and click NEXT at the bottom of the page to proceed to the next step.
Add a second player? (Leave box unchecked and click 'Next' if none)

First Name:
Last Name:
Address:
City:
Zip:
Home Phone Number:
Alternate Phone Number:
Date Of Birth:
Known Allergies:
Medical Conditions:
Age Group (As Of 1/1/12):
T-Shirt Size:
Experience In Travel?: # of Years: Position:
Experience In All Stars?: # of Years: Position:
Experience In Pitching?: # of Years:
Experience In Catching?: # of Years:
Step 3 of 10
*Required Field

Player Information: Player #3

This step is OPTIONAL. Check the box below and enter the requested information if you want to register a third child on this registration. If not, leave the box blank and click NEXT at the bottom of the page to proceed to the next step.
Add a third player? (Leave box unchecked and click 'Next' if none)

First Name:
Last Name:
Address:
City:
Zip:
Home Phone Number:
Alternate Phone Number:
Date Of Birth:
Known Allergies:
Medical Conditions:
Age Group (As Of 1/1/12):
T-Shirt Size:
Experience In Travel?: # of Years: Position:
Experience In All Stars?: # of Years: Position:
Experience In Pitching?: # of Years:
Experience In Catching?: # of Years:
Step 4 of 10
*Required Field

Parent or Guardian Information

Please enter the requested information for the PRIMARY parent or guardian. You will have an opportunity to enter a second parent or guardian in Step 2, if necessary.
Does the child being registered reside
with this parent or guardian? No: Yes:
First Name:
Last Name:
Relationship to child:
Primary Phone: Home: Work: Mobile:
Secondary Phone: Home: Work: Mobile:
Other Phone: Home: Work: Mobile:
Email Address:
Confirm Email:
Step 5 of 10
*Required Field

Additional Parent or Guardian Information

This step is OPTIONAL. If you wish to enter a second parent or guardian, check the box below, and then enter the requested information for the second parent or guardian. If no second parent or guardian is required, leave the check box BLANK, and click on the NEXT button at the bottom of the page.
Add a second parent or guardian? (Leave box unchecked and click 'Next' if none)

Does the child being registered reside
with this parent or guardian? No: Yes:
First Name:
Last Name:
Relationship to child:
Primary Phone: Home: Work: Mobile:
Secondary Phone: Home: Work: Mobile:
Other Phone: Home: Work: Mobile:
Email Address:
Confirm Email:
Step 6 of 10
*Required Field

Alternate Contact Information

Please enter the requested information for an alternate contact that we can use in the case of an emergency where we are unable to reach either parent or guardian specified in this registration. This contact must be someone OTHER than either parent/guardian #1 or #2.

Must be different than Parent/Guardian #1 and #2
First Name:
Last Name:
Relationship to child:
Primary Phone: Home: Work: Mobile:
Secondary Phone: Home: Work: Mobile:
Other Phone: Home: Work: Mobile:
Step 7 of 10
*Required Field

Volunteer

I (we) understand that this is a volunteer organization, and I (we) am expected to volunteer my (our) time as needed in one of the following areas. I understand that Greenwood Lassie League is a not-for-profit organization.

My/our preference for volunteering is (MUST SELECT ONE):
Coach:
Asst. Coach:
Concessions:
Maintenance:
Team Parent:
Volunteer Buyout ($10 additional):

A separate coach's application is required and due no later than 2/15/12. New applicants must attend a mandatory meeting on 2/21/12, time and location to be determined. Draft & coaches meeting on 3/20/12, time and location to be determined.

Are you a returning coach? No: Yes:
First Name:
Last Name:
Primary Phone: Home: Work: Mobile:
Email Address:
Confirm Email:
Step 8 of 10
*Required Field

Code Of Conduct

As a parent/guardian, I recognize that parents/guardians are the most important role models for their children and that sports help to develop a sense of teamwork, self-worth and sportsmanship. As such, I agree to abide by the following:

1. Encourage good sportsmanship by demonstrating positive support for all players, coaches, fans and officials at games, practices and other sporting events.

2. Place the wellbeing of the children before a personal desire to win.

3. Advocate a sports environment that is free of drugs, tobacco, alcohol and abusive language and refrain from their use during youth sporting events.

4. Encourage my child to play by the rules and respect the rights of other players, coaches, fans and officials.

I have read and agree to abide by the Code Of Conduct.

Step 9 of 10

*Required Field

Fee Schedule

EARLY BIRD SPECIAL: Submitted between 1/1/2010 – 2/6/2010 (multiple players from the same house receive a $5 discount) 1 player - $70.00 2 players - $135.00 3 players - $200.00	$
REGULAR REGISTRATION FEE: Submitted between 2/7/2010 – 2/28/2010 (multiple players from the same house receive a $5 discount) 1 player - $85.00 2 players - $165.00 3 players - $245.00	$
FUNDRAISER/VOLUNTEER: Candy will be distributed by your child's coach. Minimum one box of candy per player. Money must be turned in by 4/28/12. Fundraiser buyout is $35.00 per player. Volunteer buyout is $10.00 per player. Fundraiser or Buyout? Fundraiser: Buyout: Volunteer or Buyout? (From selection made on Volunteer page) Volunteer: Buyout:	$ $
Parent FAN Pack: T-Shirts and window decals each personalized with the name of your choice. You can purchase individually or as a shirt-decal combo. T-Shirts (S,M,L,XL) - $15.00 Decals - $7.00 Combo - $20.00 (Add $1.50 for 2X and 3X T-Shirts) T-Shirt #1 - Name: Size: T-Shirt #2 - Name: Size: T-Shirt #3 - Name: Size: Decal #1 - Name: Decal #2 - Name: Decal #3 - Name:	$
Total:	$

Special Requests: Transportation requests will only be considered if arrangements cannot be made within the team the player is drafted to. At that point a trade will be made for a comparable player.

We are sorry, but the registration deadline has passed. If you have special circumstances and require assistance, please contact us.

Step 10 of 10
Review Your Registration

Review your registration information below. If changes are needed, use the BACK buttons to return to the appropriate page, make your changes, and then advance back this page. If everything is correct, click the Checkout button to proceed to the payment page.

Player #1: Suzie Cue, 111 My Street, Anytown, 11111, [home], [alt], DOB: , Allergies, Medical, Age Group: 10U, Shirt Size: YM
2 yrs Travel exp at SS
2 yrs All Star exp at SS
2 yrs Pitching exp
2 yrs Catching exp

Player #2: Suzie Cue, 111 My Street, Anytown, 11111, [home], [alt], DOB: , Allergies, Medical, Age Group: 10U, Shirt Size: YM
2 yrs Travel exp at SS
2 yrs All Star exp at SS
2 yrs Pitching exp
2 yrs Catching exp

Player #3: Suzie Cue, 111 My Street, Anytown, 11111, [home], [alt], DOB: , Allergies, Medical, Age Group: 10U, Shirt Size: YM
2 yrs Travel exp at SS
2 yrs All Star exp at SS
2 yrs Pitching exp
2 yrs Catching exp

Parent or Guardian #1: Joe Blow, Father - , , -

Parent or Guardian #2: Joe Blow, Father - , , -

Alternate Contact: Joe Blow, Father - , ,

Volunteer Information: Bill Bailey, , , Position:

Fundraiser Choice:

Volunteer Choice:

Fan Pack Shirts:

Fan Pack Decals:

Registration Total:

Special Requests:

Greenwood Lassie League Spring 2012 Registration

Player Information: Player #1

Player Information: Player #2

Player Information: Player #3

Parent or Guardian Information

Additional Parent or Guardian Information

Alternate Contact Information

Must be different than Parent/Guardian #1 and #2

Volunteer

My/our preference for volunteering is (MUST SELECT ONE):

Code Of Conduct

Fee Schedule

Review Your Registration