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