Little League Player Application

Fill out this form and click the "submit" button at the bottom. You must fill out items marked with a "*".

CANDY SALE FUNDRAISER: Mandatory, every child registered with FBLL must sell at least one box of candy. Details to be announced.

Player's Name:*

Date of Birth:*

Gender: M F

Home Address:*

Attending School at:

Home Phone:

Cell:

Email:

Parent/Guardian #1:*

Address:*

Daytime Phone:

Alternate Phone:

Email:

Parent/Guardian #2:

Address:

Daytime Phone:

Alternate Phone:

Email:

In case of emergency contact (other than above):

Name:

Phone:

Relationship:

Family Physician:

Phone:

Medical Insurance Co.:

Policy #:

List any allergies, medical problems, and prescription medications

Fees are based on the player’s age on April 30th, 2008. Find your fee in the table on the right and send a money order (no personal checks, please) for that amount, payable to Fordham Bedford Little League, to:
FORDHAM BEDFORD LITTLE LEAGUE
2751 Grand Concourse, Bronx NY 10468

Division	Fee	Ages
T-Ball	$100.00	5-6
Rookies	$110.00	7-8
Minors	$110.00	9-10
Majors	$135.00	11-12
Juniors	$150.00	13-14
Seniors	$160.00	15-16

The Fordham Bedford Little League does not authorize any team manager or coach, or any other person, to collect money from participants for any reason or purpose whatsoever; and participants should not, under any circumstances whatsoever, give any money or thing of value to any team manager or coach, or to any other person purporting to represent or act on behalf of Fordham Bedford Little League. The Little League shall not be obligated or responsible for any loss suffered by any participant who does so.