2012 Online Registration Form
IMPORTANT:
Please complete this form, then print and mail with payment to Rumford Little League.
Player Information
Player's First Name
Player's Last Name
Sex
Please Select
Male
Female
Birth Date
format MM/DD/YYYY
Shirt Size
Please Select
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
sample shirts/sizes will be available at registration
Parent Information
Father's First Name
Father's Last Name
Father's Address
Father's City/Town
Father's State
Father's Zip Code
Father's Home Phone
include area code
Father's Cell Phone
include area code
Email Address
Mother's First Name
Mother's Last Name
Mother's Address
Mother's City/Town
Mother's State
Mother's Zip Code
Mother's Home Phone
include area code
Mother's Cell Phone
include area code
Mother's Email Address
Emergency Contact Info
Emergency Information
Contact : Phone : Address : Relationship : Allergies : Notes :
** For League Use Only **
League Division
______________________
League Fee
___________________
IMPORTANT:
Please complete this form, then print and mail with payment to Rumford Little League.
