Challenger Little League Registration


Choose one:   Little League Ages 4-22 (if still in school program)
Senior League Ages 15 and up
Player Name:
Birthdate:
Choose one:   Male:    Female:
Current School:
Shirt Size (ADULT L, M, S, XS
-or- YOUTH XL, L, M, S, XS):
New to League?   Yes:    No:
If "no", last season's team:
Select if the child needs
a Buddy on the field:
If you already have a
buddy for a player, buddy name:
Buddy's Shirt Size (Adult L, M, S, XS
or Youth XL, L, M, S, XS)::
Parent(s)/Guardian(s) Name(s):
Street Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Other Phone:
Phone to call in case of
game cancellation:
Primary Email:
Secondary Email:
Check this box if you DO NOT want
your child's picture published:
How did you hear about the Challenger League?
The Challenger League relies on
volunteers in order to keep the
league running.
If you are able to volunteer, please
note areas in which you can volunteer:

I/We, the guardian(s) of the above named Challenger Little League team candidate hereby give my/our approvalfor the candidate to participate in any and all Little League activities including transportation to and from theactivities.

I/We know that participation in baseball or softball may result in serious injuries, and protective equipment doesnot prevent all injuries to players, and do hereby waive, release, absolve indemnity, and agree to hold harmlessthe local Little League, Little League Baseball Incorporated, the organizers, sponsors, supervisor, participants, andperson transporting my/our child to and from activities for any claim ensuing out of any injury to my/our childwhether the result of negligence or for any other cause, except to the extent and in the amount covered byaccident liability insurance.

I/We agree to return upon request the uniform and other equipment issued to my/our child in as good condition aswhen received except for normal wear from use.

I/We will furnish a certified birth certificate of the above named candidate to League Officials if requested.

Registration fee and forms need to be returned by April 15th, 2016 in order to ensure your childwill have a team and uniform. No child will play without this completed paperwork.

Registration fee for one year is $40 per player, $80 total for two or more players from one family..
Make check payable to: Challenger Little League

Submit completed registration form, medical release, and payment to:

Lisa Wray
17666 Ironstone Dr.
South Bend, IN 46635

Please mark the box once you have completed the form.


By clicking "submit", you agree to the terms and conditions in this form.