Payment Form

Participant Information

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Please specify baseball division *

Did your child play with us last season? If yes, which Team? *
Does your child have medical coverage? *

Payment Information

Division fee amounts are below. Fees include Team Shirt, Pants, Hat, Socks and Chance Books. A minimum deposit of $20.00 is required. Full payment must be completed by uniform pick up. NO UNIFORMS WILL BE DISTRIBUTED WITHOUT FULL PAYMENT.
This payment is: *

Household/Adult Primary Contact

Relationship to Participant: *
 
Can you receive text? *
Please contact me I am interested in becoming: (Field work is required) *

Household/Adult Secondary Contact

Relationship to Participant: *
 
Can you receive text? *
Please contact me I am interested in becoming: (Field work is required) *

Emergency Contact

Thank you for Registering with Bronxchester Little League!  We appreciate your support!