Great Barrington Little League Registration

Great Barrington Little League Registration
All children residing in Great Barrington, Stockbridge, West Stockbridge, Richmond,
Sheffield, Monterey, Mt. Washington, Alford, New Marlborough, Egremont, Tyringham,
Lee, Otis and Sandisfield ages 5-12 are invited to sign up to play T-Ball, Coaches Pitch,
Minor League (kids pitch) and Little League Baseball on the following dates and locations:
March 18, 2015 Mt. Everett Gymnasium
March 18, 2015 Housatonic Community Center
March 25, 2015 Mt. Everett Gymnasium
March 25, 2015 Housatonic Community Center
6:00 p.m. to 7:30 p.m.
6:00 p.m. to 7:30 p.m.
6:00 p.m. to 7:30 p.m.
6:00 p.m. to 7:30 p.m.
In addition sign-up can be completed by mailing this registration form, along with your registration fee
to P.O. Box 671, Great Barrington, MA 01230 by March 30, 2015. Checks should be payable to The
Great Barrington Little League. Also you may sign up online at www.leaguelineup.com/GBLL01230
Registration fee:
$ 25.00 per player - T-Ball and Coaches Pitch
$ 40.00 per player - Minor League and Little League
Maximum registration fee is $80.00 per family
Any family needing financial assistance with registration fees or a baseball glove please inquire about the Tim
Soule Sr. Memorial Fund or the Sheffield Kiwanis Fund when signing up.
Tryouts for Little League (highest level only - no tryouts for minor league, coaches pitch or T-Ball) will
be held on Saturday April 11, 2015 at the Great Barrington Little League Field and Sunday
April 12, 2015 at the Sheffield Little League Field. Players who have not played on either a
Great Barrington or Sheffield Little League team must attend both try outs/skills assessment
sessions in order to be drafted onto a Little League team. Exact times will be determined
after registration.
For questions or more information please contact Brian Mead at 413-446-2504 or Email to
GreatBarringtonLittleLeague@gmail.com for all levels.
For updated information, scores, and to post pictures find us on Facebook at:
http://www.facebook.com/pages/Great-Barrington-Little-League/130786190327401
2015 Baseball Application to Play
Great Barrington Little League
Please Select
LL Returning (9-12)($40) ______
LL Tryout (9-12) ($40)________
ML (Kid Pitch, 7-11)($40)______
Coach Pitch (6-8)($25)_________
TeeBall (5-7)($25)_____________
Able to coach?
PO Box 671 Great Barrington, Massachusetts 01230
League Charter #2210102
________________________________ ___Male /
Player’s Name
Female _____/_____/_____
Date of Birth
________ League Age
Age on 4/30/15
_____________________________________________________________________ ___________________________
Street Address
City/Town
State Zip
Home Phone
__________________________ _________________ _________________________ ________________________
Primary Parent / Guardian
Relationship
E-Mail Address
Cell Phone
__________________________ _________________ _________________________ ________________________
Secondary Parent / Guardian
Relationship
E-Mail Address
Cell Phone
Participation in Little League Baseball requires the ability to run, throw, swing a bat and catch a ball. Additionally,
participation requires the capacity to understand the rules of the game. Does your child have any current condition that
limits his/her ability to participate in this activity? Yes / No
If Yes, Please explain and identify any modifications that would enable your child to participate:
_____________________________________________________________________________________________
Please provide information about allergies or medical Conditions that the team should be aware of in case of an emergency:
_________________________________________________________________________________________________________________________________________________________________________________
Please provide an alternate Emergency Contact in case the above cannot be reached. Name, Phone, relationship:
_________________________________________________________________________________________________________________________________________________________________________________
I/We, the parent(s) or legal guardian of the above named candidate for a position on a Great Barrington Baseball team, hereby give
my/our approval to participate in any and all Baseball activities, including transportation to and from 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 and indemnity and agree to hold harmless the local Little
League, Little League Baseball, Inc., the organizers, sponsors, participants and persons transporting my/our child to and
from activities for any claim arising out of any injury to my/our child whether the result of negligence for any other cause.
Except to the extent and in the amount covered by accident liability insurance.
I/We agree to return upon request the uniform and other equipment issued to my/our child in as good condition as when
received except for normal wear and tear.
I/We will furnish a certified birth certificate of the above named candidate to league officials upon request.
Parent(s) or Guardian Signature(s):____________________________________________
Name of Family Health Care/ Insurance Plan: _____________________________ School:_______________________
Preferred “team town” placement* (does not apply to little league level) GB ___ Shfld ___ Rchmd/WS ____ Stkbrdg ___
* This is a request only, and although every effort will be made to accommodate all requests, it may not be possible due to team
size and other circumstances.
Players that tryout for Little League Level of play that do not get drafted to a team will automatically be placed on a Minor League Team
Little League Baseball does not limit participation in its activities on the basis of disability or inability to pay.
Special Note: