Roster Form

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Little League Baseball and Softball - Team Roster

®
PLEASE CHECK LEVEL OF PLAY
Baseball Tee Ball Senior League
League Identification Number Address Minor League Big League
Girls Softball Challenger
League President City Little League
Boys Softball Junior League 50/70
League Name State Zip
Send to Little League International, Williamsport, Pennsylvania, by June 8, 2010.
NOTE: Instead of mailing rosters, the League President may send all rosters through the Little League Data Center. Call Regional Headquarters for more information. THIS FORM MAY BE DUPLICATED
NAME OF PLAYER Please BIRTH DATE PARENT NAME PARENT PARENT
(FIRST) (LAST) STREET ADDRESS CITY, STATE ZIP Check: / / (FIRST) (LAST) EMAIL PHONE #
1 M F
2 M F
3 M F

4 M F

5 M F
6 M F
7 M F

8 M F

9 M F
10 M F

11 M F

12 M F

13 M F
14 M F
15 M F
Additional spaces are provided for Minor League rosters only

16 M F
17 M F

18 M F

19 M F

20 M F

MANAGER AND COACHES STREET ADDRESS CITY AND STATE ZIPCODE EMAIL

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 Date


rev. 5/24/10

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