Youth League Sign-up Form

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2011 Clay County Youth League Name: Address: Phone Number: Age:

Date of Birth:

Shirt Size: ARE YOU A FIRST YEAR PLAYER?

YES

NO

If YES, We will need a copy of your birth certificate and you must be 4 years old by May 1st. If NO, What team did you play on? **PLEASE NOTE** The 2011 Clay County Youth League is *NOT* Liable For Accidents or Injuries of Any Kind!!! The cost is $20.00 a child. Signed: Signature of Parents or Guardian

Date: Circle One:

Tee-Ball (4-6 Year Olds)

Slow Pitch Pony Tail (8-10 Year Olds) Little League (8-12 Year Olds)

Coaches Pitch (7-8 Year Olds) Fast Pitch (11-12 Year Olds)

Baby Ruth (13-15 Year Olds)

If you are interested in Coaching, Please indicate which group?

Official Use Only Paid: Birthday: League Representative: Clay County Youth League

Fast Pitch (13-15 Year Olds)

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