Waiver Request Submission Form
Please complete the form below to submit your waiver request.
Date of Waiver Submission *
MM
/
DD
/
YYYY
League Information *
Please select the League that you're applying from
Required
Submitted by League Personnel Name *
Submitter's First and Last Name
Your answer
Submitter's Email Contact Information *
Submitter's Email Information
Your answer
Program Type *
Please select baseball or softball
Required
Player Name *
Please fill in Player's First and Last Name
Your answer
Player Date of Birth *
Please fill in Player's Date of Birth in the following format mm/dd/yyyy
Your answer
Player League Age *
Please fill in Player's League Age
Your answer
Player Address *
Please fill in the complete residence or school address whichever the player uses for registration
Your answer
Waiver Type Request *
Please chose the waiver below that you are applying for
Required
PDF Forms REQUIRED for 2D, 4H, and 5A Waivers Only
Please click the links below to download the 2D and / or 4H PDF Waiver Forms - These will be required in addition to the electronic submission
Description and Details for the Waiver Request *
Please include details and information regarding the waiver request
Your answer
Submit
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