Player Registration

Registration Location(Required)

Choose the location where you would like to register

Little Rock

Northwest Arkansas

Player Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

School Facility(Required)

Which season will your player participate in?(Required)

Spring Season $30

Fall Season $30

Do you need help paying for your registration?(Required)

Yes

League(Required)

Team

Gender(Required)

Male

Female

Race(Required)

Player Birthday(Required)

Player Age(Required)

Diagnosis(Required)

Special Needs Requirements or Goals(Required)

Player's Favorite Family Friendly Song and Artist(Required)

Jersey Size(Required)

Please select NONE if your child currently has a jersey that fits

Parent or Guardian Name(Required)

First Last

Parent or Guardian Email(Required)

Parent or Guardian Email 2

Parent or Guardian Phone(Required)

Parent or Guardian Employer

How did you hear about Miracle League?

Consent(Required)

I give authorization to the above listed person to participate in The Miracle League of Arkansas. I know that participation in baseball may result in serious injuries, and protective equipment does not prevent all injuries to players, and I do hereby waive, release, absolve, indemnify, and agree to hold harmless The Miracle League of Arkansas, and their organizers, sponsors, agents, insurers, supervisors, participants, and volunteers from any claim arising out of any injury to my child whether the result of negligence or for any other cause. I hereby grant The Miracle League of Arkansas, its affiliates, franchises, and advertising and promotional agencies, and their agents, the irrevocable, unrestricted right to use, publish, display and distribute materials bearing my name, voice, likeness or any other identifiable representation of myself, my family members including my Miracle League of Arkansas player. These materials may appear in any form, style, color or medium whatsoever (including, without limitation, photographs, video tapes, films, sound recordings, software, drawings, prints, broadcast, internet and electronic media). I agree that all material containing any identifiable representation of me (including without limitation, all negatives, plates, and masters of photographs, files, prints, or tapes) shall be and remain the sole and exclusive property of The Miracle League of Arkansas. I hereby release and forever discharge The Miracle League of Arkansas from any and all liability and damages relating to the use of my name, voice, likeness or any other identifiable representation of me. I hereby waive any right I may have to inspect or approve the finished materials or any part or element thereof that incorporates my name, voice, likeness, or any other identifiable representations of myself, my family including my Miracle League of Arkansas player. I acknowledge that I have fully read and understand this document and that I have had any questions regarding its effect or the meaning of its terms answered to my satisfaction. I certify that I am a least 18 years of age, unless this document is also signed by my parent or legal guardian.

I accept the Terms and Conditions.

Credit Card(Required)