spring 2012 season registration packet
TRANSCRIPT
Spring 2012 Season
Registration Packet
Welcome to another season of 4S Ranch Little League Baseball!
Little League, founded in 1939 in Williamsport, Pa., is the world’s largest youth sports program
with more than 2.8 million children and 1 million volunteers in more than 100 countries. More
than 30 million people have played in Little League programs.
4S Ranch Little League is strictly a volunteer effort. Volunteers dedicate their time, service, and
often their personal funds, to maintain an exemplary program wherein children may develop into
young adults. No parent should turn their child over to a local Little League without feeling a
sense of responsibility and participation. An obligation of involvement must be recognized and
fulfilled. The pleasure of participating in Little League should be contagious, not only affecting
parents but the community as well. Properly operated, Little League speaks for itself as a proud
asset to any community. Become involved. As a volunteer program, Little League Baseball
cannot survive without your help!
Enclosed you will find information and forms you will need to register for the Spring 2012
season.
Additionally, a Volunteer Application is included if you wish to volunteer your time. Please
consider helping.
Thank you again for supporting Little League Baseball.
For more information on Little League, visit www.4SRLL.com or www.LittleLeague.org.
Little League Pledge
I trust in God
I love my country
And will respect its laws
I will play fair
And strive to win
But win or lose
I will always do my best
Little League Parent &
Volunteer Pledge
I will teach all children to play fair and do
their best.
I will positively support all managers,
coaches and players.
I will respect the decision of the umpires.
I will praise a good effort despite the
outcome of the game.
Can my son or daughter play 4S Ranch Little League Baseball? Depends. In order to play 4S Ranch Little League
Baseball, you must be at least League Age 4 and live within the boundaries of 4S Ranch Little League. Our boundaries include the
communities of 4S Ranch, Bernardo Point, Bernardo Springs, The Lakes, Black Mountain Ranch, Del Sur, The Lakes and Santa Fe
Valley. If you are unsure, contact the League for more information.
What is my son or daughter’s league age? League age is determined by how old your son or daughter will be on April 30,
2012.
My child has never played baseball before. Is that Ok? Yes. Of course! Little League welcomes all skill levels
among all age groups. You should feel comfortable signing your child up regardless of ability. Chances are, your child will already
have friends on the team.
Can I register my daughter for softball with 4S Ranch Little League? No. 4S Ranch Little League no longer offers
softball. To register for softball, please contact 4S Ranch ASA Softball.
Can I register online? Yes. We now offer the option to sign-up online at www.4srll.com and encourage you to use the online
option by giving you $20 off your registration. Through this online option you are able to fill out the application, pay your fees and
print the required forms that are part of a complete registration packet. This online system is not able to verify proof of residency or
birth day and it does not allow you to upload the other forms we need to complete your registration. Consequently, we still need you
to either come to one of the live registration dates with those documents, mail them to our offices at 16625 Dove Canyon Rd. STE.
102 – 342, San Diego, CA 92127, or e-mail them to us at [email protected]. We will hold three sign-up dates December
3rd, December 17th and January 4th (see below).
How can I become an umpire? Outside of the managers and the coaches, this is the most important volunteer role on the
field. The games do not get to be played without an umpire. We welcome all those interested in learning more about the game and
wishing to volunteer as umpires. We host clinics to help you learn the mechanics and rules for umpiring. You get a different
perspective than from the bleachers and stay engaged in the game. You get to be on the field!! It does not require a lot of time to
officiate a couple of games a season and you will be helping ensure that the kids get to play baseball. As an added benefit, you get a
pretty cool shirt and hat. If you’re interested, please contact the UIC (Umpire-In-Chief) via email at [email protected] or
by phone at 858-382-7518.
Can my company purchase a banner in the outfield? Yes. Please support Little League by considering sponsorship.
There are various sponsorship levels available. Please see the Sponsorship section of this packet. Thank you!
What if I change my mind after signing up, can I get a refund? A full refund will be issued if player withdraws from
the league prior to January 7, 2011. It No refunds will be issued after that date. Additionally, there will be NO REFUNDS on any
apparel merchandise once the orders have been placed.
I have more questions. Where can I get more info? We are happy to answer any questions you may have or help you
register your child. You can visit us in person at any of the registration events, or visit www.4srll.com, or email us at [email protected].
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Registering for 4S Ranch Little League is as easy as 1–2–3!
STEP 1: Fill Out the Registration Forms
In this packet you will find all the forms needed to register for 4S Ranch Little League. The forms in this packet are designed to either
be printed out and then completed by hand, or you can fill them out on your computer and print for your signature. Please fill out and
print a full set of forms for EACH child you are registering. If you are registering multiple children, the option to fill out the forms on
the computer and then printing them for your signature may be easier for you.
STEP 2: Submit the Registration Forms, Documents, and Fees
The following forms and documents MUST be completed and turned in:
2012 APPLICATION TO PLAY LITTLE LEAGUE (1 FOR EACH CHILD)
LITTLE LEAGUE BASEBALL MEDICAL RELEASE (1 FOR EACH CHILD)
COUNTY OF SAN DIEGO PARENT/GUARDIAN PLEDGE (1 FOR EACH FAMILY)
4SRLL PARENT/VOLUNTEER CODE OF CONDUCT (1 FOR EACH FAMILY)
COPY OF BIRTH CERTIFICATE (EACH PLAYER - FIRST TIME REGISTRATIONS ONLY)
COPY OF UTILITY BILL WITH CURRENT ADDRESS (1 FOR EACH FAMILY - FIRST TIME
REGISTRATIONS ONLY)
REGISTRATION FEES (CHECK, CREDIT CARD, CASH)
If you wish to volunteer in any capacity (Manager, Coach, Team Parent, Score Keeper, Umpire, etc) then the following forms
and documents MUST be completed and turned in:
LITTLE LEAGUE VOLUNTEER APPLICATION 2012
COPY OF DRIVERS LICENSE ATTACHED TO VOLUNTEER APPLICATION
If you wish to volunteer as a Manager, Coach, or Assistant Coach, then the following additional forms and documents MUST
be completed and turned in:
COUNTY OF SAN DIEGO COACHES PLEDGE
Turn in all completed forms and documents to one of our convenient Registration Events:
Saturday: 12/3/2011 10:00 am - 3:00 pm @Frozen Ropes: 10710 Thornmint Rd.
Saturday: 12/17/2011 - 10:00 am - 3:00 pm @ Frozen Ropes: 10710 Thornmint Rd.
Wednesday: 01/04/2012 - 5:00 pm - 7:30 pm @ Frozen Ropes: 10710 Thornmint Rd. (Late Registration cost an extra $40)
STEP 3: Try Out
The last step in registration is to try out. Divisions AA and above are required to try out.
The following are the try out dates for the 2012 season:
Tryouts – Seniors, Juniors ……………….. Friday, January 13, 2012
Tryouts – Majors, AAA, AA …..... Saturday, January 14, 2012
The following 4 forms are required for all
registrations with 4S Ranch Little League.
(Include registration fees and remember to bring a
copy of the player’s birth certificate and copy of a
utility bill for proof of residency for first time
registrations.)
4S Ranch Little League 16625 Dove Canyon Rd. Suite 102-342 San Diego, CA 92127 www.4SRLL.com
2012 APPLICATION TO PLAY LITTLE LEAGUE
League I.D. #
ONE FORM PER CHILD, PLEASE FILL OUT FORM COMPLETELY (PRINT CLEARLY)
PL
AY
ER
IN
FO
Player Name:________________________________________________________
Current Age:_______ Birth Date:_____/_____/______ Gender: M / F League Age (age as of 4/30/2012):_________
Current Grade:_____ School: SRES / MRES / DSES / TBES / OVMS / BHMS / BMMS / DNHS
Other:___________________
Shirt Size (size not guaranteed): YS / YM / YL / YXL / AS / AM / AL / AXL / AXXL Number Choice (1-51):_______ or
_______ or _______
Last Played: Spring / Fall / Travel Level: T-Ball / A / AA / AAA / Majors / Juniors / Did Not Play / Other:____________
Last League Played: 4SRLL / Other:________Level Requesting: T-Ball / A / AA* / AAA* / Majors* / Juniors* / Senior*
Notes / Requests:_________________________________________________________________________________
PA
RE
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Parent/Guardian Name:_________________________________ Email:_____________________________________
Relationship:______________________ Home Phone:___________________ Mobile Phone: __________________
Address:______________________________________________ City:__________________ Zip:_______________
Volunteer: Manage / Coach / Umpire / Snack Bar / Opening Day / Fields / Team Parent / Score Keeper / Other:________________
Parent/Guardian Name:_________________________________ Email:_____________________________________
Relationship:______________________ Home Phone:___________________ Mobile Phone:___________________
Address:______________________________________________ City:__________________ Zip:_______________
Volunteer: Manage / Coach / Umpire / Snack Bar / Opening Day / Fields / Team Parent / Score Keeper / Other:________________
RE
GIS
TR
AT
ION
FE
ES
Cash, Credit (Visa, Master Card, and Discover) or Check (Payable to “4SRLL”) Accepted.
1. Registration fee for Baseball: $175 per child ___x $175 = $________
2. Registration fee for T-Ball: $140 per child ___x $140 = $________
3. Sibling Discount - 2 players = $15 discount, 3 = $25, 4 = $35. ________ = $(_______)
4. $40 Late fee for registrations on or after January 4, 2012. ___x $ 40 = $________
5. $5 Annual Membership Fee (optional). Provides eligibility to vote at annual meeting ___x $ 5 = $________
6. Donation - Friends of Little League: All donations are voluntary and tax deductible! = $________
Names of other players paid for on this form:_________________________________
TOTAL: $________
AG
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4SRLL Policy Statement - By signing this form you agree to the following: Final placement (Team/Division) of all players is the responsibility of the 4SRLL Board of Directors. Any input solicited on these forms or in any other
manner is for advice purposes only.
Use of a false address and/or an address that is not the PRIMARY RESIDENCE of any player will be cause for dismissal from the league. Any concerns should be discussed with the Player Agent at signups.
Any information provided on this form is for league use only and will only be provided to league officials (including team managers/coaches).
Any adult (18 and older) associated with the league as a board member, manager, coach, umpire, team-parent, etc must fill out a separate volunteer application form, provide a copy of your driver's license, and agree to a background check.
The league must see in person the original birth certificate (state certified birth certificate, not a hospital certificate) of each player. If we have seen it before and don't ask for it now, we will still need to see it if your child is selected to play on an All Star team.
I have read, understand, and agree to comply with the provisions of the Parent/Volunteer Code of Conduct.
I agree to all of the above and certify that all information provided is correct:
Signed:_______________________________ Relationship To Player:________________ Date:_____________
LEAGUE USE ONLY: Paid: CASH / VISA / MC / DISC / CHECK # ____ Amount: $________ Sibling Option:____
Birth Certificate: _____ Proof of Residency: _____ Medical Information: _____ County Code of Conduct:_____ (Indicate R for returning or X
if original BC was checked)
(If not utility bill, make sure
Player Agent approves it)
APPLICATION REVIEWED AND ACCEPTED BY: Initials:_______________ Date:___________
* Tryout Required
Little League® Baseball and SoftballM E D I C A L R E L E A S E
NOTE: To be carried by any Regular Season or Tournament Team Manager together with team roster or eligibility affidavit.
Player: _____________________________________ Date of Birth: ____________ Gender (M/F):_________________
Parent (s)/Guardian Name:_____________________________________ Relationship:____________________________
Parent (s)/Guardian Name:_____________________________________ Relationship:____________________________
Player’s Address:____________________________________ City:_______________ State/Country:________ Zip:______
Home Phone:_____________________ Work Phone:______________________ Mobile Phone:_____________________
PARENT OR GUARDIAN AUTHORIZATION:
In case of emergency, if family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel. (i.e. EMT, First Responder, E.R. Physician)
Family Physician: ____________________________________________ Phone: _________________________________
Address: __________________________________________ City:________________ State/Country:_________________
Hospital Preference: __________________________________________________________________________________
Parent Insurance Co:_________________________ Policy No.:__________________Group ID#:_____________________
League Insurance Co:_________________________ Policy No.:__________________League/Group ID#:______________
If parent(s)/guardian cannot be reached in case of emergency, contact:
___________________________________________________________________________________________________ Name Phone Relationship to Player
___________________________________________________________________________________________________ Name Phone Relationship to Player
Please list any allergies/medical problems, including those requiring maintenance medication. (i.e. Diabetic, Asthma, Seizure Disorder)
Medical Diagnosis Medication Dosage Frequency of Dosage
Date of last Tetanus Toxoid Booster: ______________________________________________________________________
The purpose of the above listed information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment.
Mr./Mrs./Ms. ________________________________________________________________________________________ Authorized Parent/Guardian Signature Date:
FOR LEAGUE USE ONLY:
League Name:_______________________________________________ League ID:________________________________
Division:_________________________________Team:______________________________ Date:____________________
WARNING: PROTECTIVE EQUIPMENT CANNOT PREVENT ALL INJURIES A PLAYER MIGHT RECEIVE WHILE PARTICIPATING IN BASEBALL/SOFTBALL.Little League does not limit participation in its activities on the basis of disability, race, color, creed, national origin, gender, sexual preference or religious preference.
PARENT/VOLUNTEER CODE OF CONDUCT Preamble:
The essential elements of character building and ethics in sports are embodied in the concept of sportsmanship and six core principles: Trustworthiness, Respect, Responsibility, Fairness, Caring, and Good Citizenship. The highest potential of sports is achieved when competition reflects these “six pillars of character.” I therefore agree:
1. I will promote the emotional and physical well being of the children ahead of any personal desire I may have to win.
2. I (and my guests) will be a positive role model for the children and encourage sportsmanship by showing respect and courtesy, and by demonstrating positive support for all players, coaches, officials and spectators at every game, practice or other sporting event.
3. I will praise the children for competing fairly and trying hard, and make them feel like winners every time.
4. I will never ridicule or yell at the children for making a mistake or losing a competition.
5. I (and my guests) will not engage in any kind of unsportsmanlike conduct with any official, coach, player, or parent such as booing and taunting; refusing to shake hands; using profane language or gestures; or committing verbal or physical abuse.
6. I will respect the officials and their authority during games and will never question, discuss, or confront officials or coaches at the game field, and will take time to speak with officials or coaches at an agreed upon time and place.
7. I will refrain from coaching the children during games, and practices, unless I am one of the official coaches of the team.
8. I will teach the children to play by the rules and to resolve conflicts without resorting to hostility or violence.
9. I will demand a sports environment for the children that is free from drugs, tobacco, and alcohol and I will refrain from their use at all sports events.
10. I will inform the league or the coach of any physical disability or ailment that may affect the safety of the children.
11. I will not encourage any behaviors or practices that would endanger the health and well being of the children.
12. I will demand that the children treat other players, coaches, officials and spectators with respect regardless of race, creed, color, sex or ability.
13. I will teach the children that doing one’s best is more important than winning, so that the children will never feel defeated by the outcome of a game or their performance.
14. I will emphasize skill development and practices and how they benefit the children over winning. I will also de-emphasize games and competition in the lower age groups.
15. I will learn the rules of the game and the policies of the league and follow them.
16. I will remember that children participate to have fun and that the game is for youth, not adults.
17. I understand that failure to comply with any one of the provisions of this Code of Conduct may subject me to any disciplinary action deemed appropriate by either the 4S Ranch Little League, the County of San Diego or the County's Department of Parks and Recreation. Such disciplinary action may include, but may not be limited to, suspension of my child, myself and / or other family members from current or future participation in the League, access to the 4S Ranch Sports Park or access to other County facilities.
Parent / Guardian Name: ______________________ Signature: _______________________ Date: _______________
County of San Diego
Department of Parks and Recreation Parent/Guardian pledge to live up to Youth Sports agreement and Standards
I hereby pledge to live up to this agreement as a Parent / Guardian of a Youth involved in a Youth Sports League /
Program / Activity in the County of San Diego by following the C.P.R.S. (California Park and Recreation Society),
NAYS (National Alliance for Youth Sports) and County of San Diego Department of Parks and Recreation Parent
Expectations and Code of Ethics:
I will place the emotional and physical well being of my Child ahead of a personal desire to win.
I will Respect all persons involved in this program/activity. I will remember that I am a model for all youth.
I will lead by example and respect all parents, players, referees, coaches and league officials by:
Speaking words of positive encouragement in the presence of children.
Practicing basic self control and refrain from doing or saying anything negative in the presence or earshot of
children.
Informing coaches, referees and league representatives of disagreements only before or after games and practices
and in private.
Being responsive to the direction of coaches, referees and league officials.
Collaboratively resolving conflicts and disagreements with the intention of strengthening relationships with
players, parents, referees, coaches and league officials.
Creating an alcohol, tobacco, and drug free environment during practices and games
Contributing to the development of safe physical and positive psychological environment for all.
Supporting the vision of : Competing and Winning with Honor / Play your Best, Play Fair ,
Every person wins. I will be knowledgeable in the rules of each facility /activity my child attends, and I will go over these rules with my
Child.
I will remember that I am a youth sports Parent / Guardian, and that the game is for children and not adults.
Organization Name: ___4S Ranch__________________________________________
Parent / Guardian Name: ________________ Signature: __________________ Date: _____________
Program/Organization Representative Name: _____________ Signature: _____________ Date: ___________
County of San Diego Dept. of Parks and Rec. Sports Administrator: ________________________ Date: __________
The following form is required for all volunteer
Managers, Coaches, and Assistant Coaches of 4S
Ranch Little League.
County of San Diego
Department of Parks and Recreation Coach’s pledge to live up to Youth Sports agreement and Standards
I hereby pledge to live up to this agreement as a Youth Sports Coach in the County of San Diego by following the
C.P.R.S. (California Park and Recreation Society), NAYS (National Alliance for Youth Sports) and County of San
Diego Department of Parks and Recreation Coach’s Code of Ethics:
I will place the emotional and physical well being of my players ahead of a personal desire to win.
I will treat each player as an individual, remembering the large range of emotional and physical development for the same
age group.
I will Respect all persons involved in this program/activity. I will remember that I am a model for all youth.
I will lead by example and respect all parents, players, referees, coaches and league officials by:
Speaking words of positive encouragement, and or instruction to players.
Practicing basic self control and refrain from doing or saying anything negative in the presence or earshot of
children.
Informing coaches, referees and league representatives of disagreements only before or after games and practices
and in private.
Being responsive to the direction of referees and league officials.
Collaboratively resolving conflicts and disagreements with the intention of strengthening relationships with
players, parents, referees, coaches and league officials.
Creating an alcohol, tobacco, and drug free environment during practices and games.
Contributing to the development of safe physical and positive psychological environment for all.
Lead by example in supporting the vision of: Competing and Winning with Honor / Do your Best, Play Fair,
Every person wins.
I will do my best to provide a Safe and Healthy playing situation for all players.
I will promise to review and practice basic first aid principles needed to treat injuries of my players.
I will do my best to organize practices that are fun and challenging for all my players.
I will be knowledgeable in the rules of each sport that I coach, and I will teach these rules to my players.
I will use coaching techniques appropriate for all of the skills that I teach.
I will remember that I am a youth sports coach, and that the game is for children and not adults.
Organization Name: _4S Ranch ____________________________________________
Coach’s Name: ___________________ Signature: ______________________ Date: _____________
Program/Organization Representative Name: __________________ Signature: _____________ Date: ___________
County of San Diego Dept. of Parks and Rec. Sports Administrator: ________________________ Date: ___________
The following form is required for all volunteers of 4S
Ranch Little League. Including Managers, Coaches,
Assistant Coaches, Team Parents, Score Keepers,
Umpires, etc.
(Include copy of Drivers License.)
Little League® Volunteer Application - 2012Do not use forms from past years. Use extra paper to complete if additional space is required.
Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program:
Name/Phone
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
AS A CONDITION OF VOLUNTEERING, I give permission for the Little League organization to conduct background check(s) on me now and as long as I continue to be active with the organization, which may include a review of sex offender registries, child abuse and criminal history records. I understand that, if appointed, my position is conditional upon the league receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability the local Little League, Little League Baseball, Incorporated, the officers, employees and volunteers thereof, or any other person or organization that may provide such information. I also understand that, regardless of previous appointments, Little League is not obligated to appoint me to a volunteer position. If appointed, I understand that, prior to the expiration of my term, I am subject to suspension by the President and removal by the Board of Directors for violation of Little League policies or principles.
Applicant Signature____________________________________________________ Date _____________
If Minor/Parent Signature______________________________________________ Date_____________
Applicant Name(please print or type) ____________________________________________________
NOTE: The local Little League and Little League Baseball, Incorporated will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability.
A COPY OF VALID GOVERNMENT ISSUED PHOTO IDENTIFICATION MUST BE ATTACHED TO COMPLETE THIS APPLICATION.
Name _____________________________________________ Date _________________________Address __________________________________________________________________________City ______________________________________ State ____________Zip ________________Cell Phone Business PhoneE-mail Address:Date of Birth _____________________________________________________________________Occupation______________________________________________________________________Social Security #(mandatory upon request or with LexisNexis)___________________________________________
Employer ________________________________________________________________________Address __________________________________________________________________________Special professional training, skills, hobbies: ______________________________________________________________________________________________________________________Community affiliations (Clubs, Service Organizations, etc.):___________________________________________________________________________________Previous volunteer experience (including baseball/softball and year):___________________________________________________________________________________Do you have children in the program? Yes No If yes, list full name andwhat level? _______________________________________________________________________Special Certification (CPR, Medical, etc.): _____________________________________Do you have a valid driver’s license: Yes No Driver’s License#: __________________________________________State _______________Have you ever been convicted of or plead guilty to any crime(s): Yes NoIf yes, describe each in full: _________________________________________________________________________________________________________________________________________Have you ever been refused participation in any other youth programs? Yes NoIf yes, explain: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________In which of the following would you like to participate? (Check one or more.)League Official Coach Umpire Field Maintenance
Manager Scorekeeper Concession Stand Other
1-03-12-Volunter ApplicAtion 2012
Local League Use Only:Background check completed by league officer ________________________________ on ____________________________________________________________________
System)s) used for background check (minimum of one must be checked):Sex Offender Registery Criminal History Records *LexisNexis
*Please be advised that if you use LexisNexis and there is a name match in the few states where only name match searches can be performed you should notify volunteers that they will receive a letter directly from LexisNexis in compliance with the Fair Credit Report-ing Act containing information regarding all the criminal records associated with the name, which may not necessarily be the league volunteer.
Only attach to this application copies of background check reports that reveal convictions of this application.
Sponsorship