Little League Baseball & Softball - Team Roster
   

League Identification Number
League President
League Name
Address
City
State
Zip

PLEASE CHECK LEVEL OF PLAY

Baseball

Girls Softball
Tee Ball Boys Softball
Minor League Senior League
Little League Big League
Junior League Challenger
NAME OF PLAYER STREET ADDRESS CITY, STATE, ZIP

MALE OR FEMALE

BIRTHDATE

MM/DD/YYYY

Additional spaces are provided for Minor League Rosters only

MANAGERS AND COACHES STREET ADDRESS CITY AND STATE ZIP CODE

Little League does not limit participation in its activities on the basis of disability, race, creed, color, national origin, sexual preference, gender or religious preference.

TEAM NAME

Signed (type your full name to represent your signature):

Date:

Verify the image :*