Survey : Questions

Little League 50-70 Pilot Program Enrollment Application

Required Question(s)

	Thank you for your interest in the Little League teenage divisions of baseball. Please note that in order for your league to be eligibile for the 50 / 70 pilot program and be covered by Little League regulations and insurance, you must complete the online enrollment application below.

	*League Information*

1.	League Identification Number:
	50 characters left.

2.	League Name:
	50 characters left.

League President Contact Information

First Name:
Last Name:
Email Address:	emailaddress@xyz.com
City:
State/Province (US/Canada):
Country:

4.	Number of Teams in the 50-70 division:
	50 characters left.

	Based on the number of teams entered, your league's application for charter will be adjusted and billed accordingly. If your league's insurance is acquired through Little League, these teams will be also added and billed accordingly.

	Pilot Program Coordinator Contact Information (If different from League President)

5.	First Name:
	50 characters left.

6.	Last Name:
	50 characters left.

7.	E-mail Address:
	50 characters left.