Miracle League of Northampton County Player Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

All Miracle League Players must sign up here for the Spring 2024 Season. We will be asking for a fee of $10.00 per family to participate for one full year. That includes both the Spring and Fall Season as well as extra activities provided by the league. We kindly ask that you submit payment in either check or cash form prior to the first game to one of the Directors.

Player's First Name: *

Player's Last Name: *

Male or Female? *

Male

Female

Date of Birth (mo/day/year) *

Current Age: *

Parent / Guardian First Name: *

Parent / Guardian Last Name: *

Home Phone Number (This will be the number used for our calling system): *

Email Address: *

Street Address: *

City: *

State: *

Zip Code: *

Municipality Living In (City, Borough, Township) *

Disability: *

Any Special Needs or Requirements?

If a Player was on a Team in the Fall of 2023, please click the team below otherwise click NEW PLAYER!

Yankees

Angels/Pirates

Mets/Rangers

Giants

Athletics

Dodgers

Rockies

Phillies

NEW PLAYER

Clear selection

Jersey Size for a minimum of 2 years: *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult X Large

Adult XX Large

Have you read the Release document on the Registration Page on the Web Site? *

Your child will not be able to participate in the MLNC program unless you have read and agreed to what is stated in the Release. Click "READ PLAYER RELEASE" below this form or at the top of the page.

Yes

Do you agree with what is stated in the Release Document *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.