Register for the Miracle League of Greater New Orleans

For which sport(s) are you volunteering for? *
- Baseball-Spring
- Baseball-Fall
- Basketball
- Soccer
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Which age group is the player? *

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Player's First Name *

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Player's Last Name *

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Player's Gender *

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Parent's Name *

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Player's Date of Birth *

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Street Address *

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City / State / Zip Code *

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Phone Number *

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Email Address *

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Player's School

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Player's Diagnosis *

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Special needs or requirements*

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Other needs or requirements
Is this player a current Miracle League player?*

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Player's current team
Player's Shirt Size *

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Agreement - Miracle League Player *
- Yes, I Agree
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By checking this box, you give authorization for your child to participate in The Miracle League of Greater New Orleans and do hereby release any liability for injury that may occur while participating as a player or spectator during the season. I, the parent/guardian of the registrant, a minor, agree that the registrant and I will abide by the rules of The Miracle League of Greater New Orleans; its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with baseball, I hereby release, discharge and agree to indemnify The Miracle League of Greater New Orleans, its affiliated organizations and sponsors, their employees and associated personnel, including the facility utilized for the program, from and against any claim by, or, on behalf of the registrant as a result of the registrant’s participation in the program. I hereby grant The Miracle League of Greater New Orleans, its affiliates, franchises, 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 player/child. 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 or electronic media.) I agree that all material containing any identifiable representation of me or my child may be used by The Miracle League of Greater New Orleans.
Payment Options*
Are you able to pay the Registration Fee of $10/player? If you are unable to pay this fee, please choose "Request Financial Assistance" below.
- Yes - Proceed to Checkout
- No - Request Financial Assistance
This is required.
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