Registration Form | SportsWare Live!

Western Little League Registration Form - 2013 Season

(Age as of 4/30/2013) * 4 year old Tball - $75 * 5 & 6 year old Tball - $100 * 7 & 8 Coach Pitch - $150 * Farm (Kid Pitch - Ages 9 & 10) - $150 * American/National (Ages 11 &12) - $150 * NEW FOR 2013 (50/70 for 13 year olds) - $150

Player's First Name

Player's Last Name

Gender

Birth Date

Played Last Year

Email Address

Residence

Jersey Size

Uniform Number

Alternate Uniform Number

Father's First Name

Father's Last Name

Father's First Address Line

Father's City

Father's State

Father's Zip Code

Father's Home Phone Number

Father's Cell Phone Number

Mother's First Name

Mother's Last Name

Mother's First Address Line

Mother's City

Mother's State

Mother's Zip

Mother's Home Phone Number

Mother's Cell Phone Number

Billing Information

Register for Division:
	Div: Fee: $

(Age as of 4/30/2013) * 4 year old Tball - $75 * 5 & 6 year old Tball - $100 * 7 & 8 Coach Pitch - $150 * Farm (Kid Pitch - Ages 9 & 10) - $150 * Amer/Natl(Ages 11 &12) - $150 * NEW FOR 2013 (50/70 for 13 year olds) - $150

Acceptable use policy | Refund policy