Affidavit Softball 10

8/8/2019 Affidavit Softball 10

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A. Complete:All spaces above must be completed, as wellas all spaces for each participant.

B. Documentation: Team manager must present thisafdavit to the Tournament Director at each site. Theleague named above must provide a photocopy of thisafdavit to be retained by the District Administrator,after it is certied by that District Administrator, or his/her authorized representative. All age and residencyeligibility documentation will be required to accompanyeach team at all levels. This documentation will bereviewed by the tournament director at the section, state,divisional, regional and world series levels.

C. EligibilityofPitchers:The team manager for the teamlisted herein is solely responsible for ensuring thatany pitcher on this team who enters a game is eligibleunder all conditions listed in the Tournament Rulesand Guidelines.If an ineligible pitcher enters a game,it may result in forfeiture by action of the Tournament

Committee in Williamsport, Pennsylvania.D. EligibilityofPlayers:A player may be deemed ineligible

by the Tournament Committee because of a violationof Little League Rules and Regulations regarding:1) participation in games or practices; 2) league age;3) residence (as dened by Little League Baseball,Incorporated); or 4) participation for at least 60 percentof the regular season as an eligible player in the properdivision.If the Tournament Committee deems any playerto be ineligible, it may result in forfeiture of tournamentgame(s), and/or removal of the team or teams in thelocal league from tournament play, and/or suspensionor removal of personnel from further Little League

activities, and/or suspension or revocation of the localleagues charter.

E. MapofBoundaries:This afdavit must be accompaniedby a map showing the actual boundaries of the localLittle League named above. The purpose of this map isfor verication of residences only. The location of theresidence of each participant (residence, as dened byLittle League Baseball, Incorporated) must be noted onthe map, with references to the names and/or numbersof the players as listed on this afdavit. The boundariesas detailed on the map must be a physical structure (such

LittleLeague

SoftballTournamentTeamEligibilityAfdavit

Pleasetypeorprintallinformation

Year: ____________

NameofLeague City State/Province Country

League ID Number(s)

__________________________

__________________________

__________________________

Ifplayingincombination,enterallnumbers

LeaguePresidentsPhoneNumbers

_________________________Day

_________________________Evening

as a road), or a geographic feature (such as a river). Tboundary line will be considered to be in the centersuch structures or features, unless noted otherwise. Tboundaries must not encroach on any other charteLittle Leagues boundaries. The map accompanying tafdavit must be signed and dated (within the curr

year) by the District Administrator and league presidA map depicting these same boundaries must also bele at the Regional Center.

F. Birth Records: The team manager must caphotocopies (originals are not necessary) of the origibirth documents that were used as verication of bdate in the preparation of this afdavit.

G. DistrictAdministratororTournamentDirectosignature/date: By initialing the District Approvbox, the district administrator veries that the informatregarding this players eligiblity under all regulati(league age, residence, and participation for 60 perc

of the regular season as of June 15 of the current yehave been found to be acceptable.

NOTE: This afdavit is not complete unless: 1) all spaare properly completed; 2) accompanied by a boundary m(E - above); and 3) accompanied by copies of birth recofor all players (F - above); 4) accompanied by eligibiwaivers for any participants otherwise ineligible (ChaCommittee, IId, IVh); 5) A copy of the Statement in Lof Acceptable Proof of Birth for all players who lack sacceptable proof, along with copies of all documentatused to obtain the statement. 6) accompanied by resideeligibility documentation.

This afdavit and all accompanying documentation is to be shared with or provided to opposing teams, mepersonnel or any other persons unless specically approin writing by the Tournament Committee in WilliamspPennsylvania.

(continu

LevelofPlay(checkone)

9-10-Year-Old 10-11-Year-Old Little League Junior League Senior League Big League

Note: There is no Junior League division in Boys Softball.

Division (check one)

Girls Softball

Boys Softball

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CerticationbyTeamManagerBy my signature below, I certify that all the information contained on this afdavit is true and correct, to the best of my knowledgeI understand: 1. all of the Rules and Regulations pertaining to eligibility; 2. I am solely responsible for the eligibility of pitcheron my team; 3. if an ineligible pitcher or player participates in a game for any reason, it may result in forfeiture, and/or removaof participants, including players, manager and coaches, or the entire team named herein, from the International Tournamentby action of the Tournament Committee in Williamsport; 4. I may lodge a protest in accordance with the Tournament Rules andGuidelines, and that my team is not required to continue playing until such protest has been resolved, (A) to my satisfactionor, (B) by the Tournament Committee in Williamsport, the decision of which shall be nal and binding; 5. That I must maintainand carry all required eligibility documentation throughout all levels of play; 6. That I am fully eligible to be the manager of thiournament team, and the coaches named on this afdavit are also eligible.

SignatureofManager_____________________________________________________DateSigned________________

SignatureofReplacementManager_________________________________________DateSigned________________

(Note: temporary replacements should not sign.)

CerticationbyLeaguePresidentandLeaguePlayerAgent

We, (League President, please print) ___________________________________________________________,

and (Player Agent, please print) _______________________________________________________________,

have personally reviewed this afdavit, as well as all supporting documents (birth records, proof of residence as dened by LittlLeague Baseball, Incorporated, and proof of participation), regarding the tournament team herein. We have read and understanall rules and regulations pertaining to the eligibility of all individuals named on this afdavit. By our signatures below, we certifyhat the names, dates of birth and residences (as dened by Little League Baseball, Incorporated) of the persons listed on this

afdavit are true and correct, and have been substantiated by legal documentation that is acceptable under Little League standardsor statement in lieu thereof from Little League International Headquarters. I certify that the manager, coaches and all players onhis afdavit are fully eligible under all rules and regulations. Should a controversy arise, we agree to accept the decision of th

Charter Committee/Tournament Committee as nal and binding.

SignatureofLeaguePresident______________________________________________DateSigned________________

SignatureofPlayerAgent__________________________________________________DateSigned________________

CerticationsbyDistrictAdministratorandEnsuingTournamentDirectorsBy my signature below (or that of my authorized representative), I certify that the names, residences (as dened by Little LeaguBaseball, Incorporated) and dates of birth of the persons listed on this afdavit are true and correct, and have been substantiated byegal documentation that is acceptable under Little League standards, or statement in lieu thereof from Little League Internationa

Headquarters.

SignatureofDistrictAdministrator _________________________________________DateSigned________________*Tournament directors are verifying that they have reviewed the documents accompanying this afdavit and it appears to meet Little League standards for tournament participation

SignatureofSectionalTournamentDirector__________________________________DateSigned________________

SignatureofStateTournamentDirector______________________________________DateSigned________________

SignatureofDivisionalTournamentDirector _________________________________DateSigned________________

SignatureofRegionalTournamentDirector__________________________________DateSigned________________

SignatureofWorldSeriesTournamentDirector_______________________________DateSigned________________

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PlayerInformationPlayersnameline:This should be the childs full name, as listed on the birth document(s). If the name has been changed, then a Statemin Lieu of Acceptable Proof of Birth (issued by the Regional Director or District Administrator) is required for that child to be eligibleAddress:The address listed for each player must be inside the boundaries as detailed on the attached map (required, see E on previ

page), unless the league has received a waiver from the Charter Committee in Williamsport, Pennsylvania, for the current year for the plin question.II(d)/IV(h):If the address listed in the players information is outside the boundaries as detailed on the attached map (required, see on previous page), then that player is eligible ONLY if this afdavit is accompanied by a properly completed and acceptable Regulatio(d) Waiver Form, a Regulation IV (h) Waiver Form, or a written waiver from the Charter Committee in Williamsport, Pennsylvania, forcurrent year. Please mark the box to indicate that the appropriate form is attached to this afdavit.

DOB: Acceptable proof of birth documents are any ONE of the following: 1. Original proof of age document, if issued by federal, statprovincial registrars of vital statistics in the country in which the Little Leaguer is participating; 2. If country of participation differs fthe country of proof of age document, the proof of age document must be led, recorded, registered or issued within one (1) year of the bof the child; 3. A government-certied copy of the original birth certicate, if the original certicate was led, recorded, registered or isswithin one (1) year of the birth of the child; 4. A document issued by a local, state, provincial, or national government authority that the date of birth, with reference to the location and led, recorded, registered or issued date of the original birth certicate. (Such orig

birth certicate must have been led, recorded, registered or issued within one (1) year of the birth of the child.); 5. A Statement in LieAcceptable Proof of Birth issued by a Little League Regional Director or District Administrator.Note: The proof of birth date documents m

personally be inspected by the local Little League President, Player Agent, AND District Administrator (or his/her designated appointeRegularSeasonTeamCode:Place the letter associated with the team. The team noted must be a team in the proper division of this leaor a team in a combination approved by the Regional Director for the level of play listed on the front page of this afdavit.GamesPlayedbyJune15: If the number of games listed for the player (page 3) is less than 60 percent of those listed for the team (p2), then the player is eligible ONLY if this afdavit is accompanied by a written waiver for the current year from the Charter CommitteWilliamsport, Pennsylvania. The number must refer only to actual games played by the team (page 2) and player (page 3).Exception:

period during which a candidate was a member of a middle school, junior high school or high school baseball or softball team, is not tconsidered in this evaluation. If this is the case, games played as a member of a school team must be noted on a separate sheet and carwith this afdavit. (See Eligibility in Tournament Rules and Guidelines.)

RegularSeasonTeam

InformationPlease list all regular season teams for this

division

Regular SeasonTeamCode:Theletter associated with the team. Theteam noted must be a team in the

proper division of this league or ateam in a combination approved by theRegional Director for the level of play

on the front page of this afdavit.

TeamName:Name as it appears onthe regular season roster.

A

B

C

D

E

F

G

H

I

J

Code TeamNameGames Playedby June 15

Manager/CoachInformationPhoneNumber(s):List day and evening numbers. This will assist district staff in case of game rescheduling.

Manager/CoachesName Team

codeAddress,City,State/Province,Zip/PostalCode Day Phone Evening Phone

M

C

C*

*NOTE:TheTournamentruleonPageT-3(ManagersandCoaches--Managers/CoachesintheDugout)limitsthenumberof

adultsthatcanparticipateinthedugout/game.Ifthisafdavitlists12orfewerplayers,thenonlytwoadultscanbenamedabo

Seetheruleformoredetails.

Regular SeasonDivisions

League I.DNumber

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SoftballTournamentPitchRecord

*The Level of tournament play (i.e. district, sectional, state, regional, national, etc)**Score should be the score when this pitcher finished pitching in that game. A separate sheet may be attached if more space is required.

League: _________________________________________

Division:_________________________________________

(Additionalblankdatasheetsareavailableatwww.littleleague.org)

Date of

Game

Level of

Play * Pitcher

League

Age Name of Opponent

Score ** Signature of OfficialScorer or Pitch

Counter

# DaysRest

Needed

Manager

Initials

Signature of

TournamentDirector

Own Opp

RECORD OF EJECTIONS

Player / Manager / Coach Name Opponent Date Tournament Director Signature

Division

Max #

Innings

A Day

# of

innings

pitched

Days of

RestDivision

Max #

Innings

A Day

# of

innings

pitched

Days

of

Rest

9-10 7

}Jr/ Sr /

BL10 }10-11 7 < 3 0 < 5 0

11-12 9 3 or > 1 5 or > 1


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SoftballTournamentPitchRecord

*The Level of tournament play (i.e. district, sectional, state, regional, national, etc)**Score should be the score when this pitcher finished pitching in that game. A separate sheet may be attached if more space is required.

League: _________________________________________

Division: _________________________________________

(Additionalblankdatasheetsareavailableat

www.littleleague.org)

Date of

Game

Level of

Play *Pitcher

League

AgeName of Opponent

Score ** Signature of Official

Scorer

# Days

Rest

Needed

Manager

Initials

Signature of

TournamentDirector

Own Opp

RECORD OF EJECTIONSPlayer / Manager / Coach Name Opponent Date Tournament Director Signature

Division

Max #

Innings

A Day

# of

innings

pitched

Days of

RestDivision

Max #

Innings

A Day

# of

innings

pitched

Days

of

Rest

9-10 7

}Jr/ Sr /

BL10 }10-11 7 < 3 0 < 5 0

11-12 9 3 or > 1 5 or > 1

Documents

Affidavit Softball 10