LITTLE LEAGUE BASEBALLI league Age...... Tesra HI (do not write) (do not write)Boys Name...................... Date of Birth . , rl Mo.-Day-Yr, JfSKreet Address ,..,vr,.;.......... Phoae No, ,, II 1/We the parents of the above named candidate for a 1 position on a Little League Baseball Team, herebv give my/ •I our approval to his participation in any and all Little League activities dunng the current season. I/We assume all risks [ And hazards incidental to sun participation Including trans-| portatlon to and from the activities; and 1/We do hereby I *aive, release, absolve, indemnify and agree to hold harm- 1|h$s the Local Little League, Little League Baseball, Inc., the i organizers, sponsors, supervisors, participants, and persons IItjrtnsporting my/our son to oi from activities, for anv claim •rising out of an injury to my/our son. except to the extent I Covered by accident or liability insurance. I1/We will furnish a certified certificate to Leage Officials Qpon request for the above named candidate-iMail be signed by both parents. If not, give rtison on blank lines.Ufitter-*............................... Daicitber Dst*