Little League
Baseball
League President’s
Phone Numbers
League ID Number(s)
®
_________________________
Day
_________________________
Evening
__________________________
Tournament Team Eligibility Affidavit
__________________________
Please type or print all information
__________________________
Year: ____________
If playing in combination,
enter all numbers
Name of League
City
State/ProvinceCountry
Level of Play (check one)
Baseball
 9-10-Year-Old
 10-11-Year-Old
Little League
Intermediate (50/70)
Junior League
Senior League
Big League
A.Complete: All spaces above must be completed, as well
as all spaces for each participant.
League activities, and/or suspension or revocation of the
local league’s charter.
B.Documentation: A Tournament Player Verification
form should be completed for each player. Residency/
School Attendance eligibility documentation shall be
attached to Tournament Player Verification forms for
each player. Team manager must present this affidavit
to the Tournament Director at each site. The league
named above must provide a photocopy of this affidavit
to be retained by the District Administrator, after it
is certified by that District Administrator, or his/her
authorized representative. All residency documentation
shall be established and supported by documents dated
or in force between February 1, 2013 and February
1, 2014. School attendance shall be established and
supported by a document indicating enrollment for the
current academic year, dated prior to October 1, 2013.
This documentation will accompany each team and be
reviewed by the tournament director at the Section,
State, Divisional, Regional and World Series levels of
tournament play.
E. Map of Boundaries: This affidavit must be accompanied
by a map showing the actual boundaries of the local Little
League named above. The location of the residence or
school they are currently enrolled, of each participant
(“residence,” as defined by Little League Baseball,
Incorporated) must be noted on the map, with references
to the names and/or numbers of the players as listed
on this affidavit. The boundaries as detailed on the
map must be a physical structure (such as a road), or a
geographic feature (such as a river). The boundary line
will be considered to be in the center of such structures
or features, unless noted otherwise. The boundaries must
not encroach on any other chartered Little League’s
boundaries. The map accompanying this affidavit must
be signed and dated by the District Administrator and
league president. A map depicting these same boundaries
must also be on file at the Regional Center.
F. District Administrator or Tournament Director’s
signature/date: By initialing the “District Approved”
box, the District Administrator verifies that the
information regarding this player’s eligiblity under all
regulations (league age, residence or school attendance,
and participation for 60 percent of the regular season
as of June 15 of the current year) have been found to be
acceptable.
C. Eligibility of Pitchers: The team manager for the team
listed herein is solely responsible for ensuring that any
pitcher on this team who enters a game is eligible under
all conditions listed in the Tournament Rules and
Guidelines. If an ineligible pitcher enters a game, it may
result in forfeiture by action of the Tournament Committee
in Williamsport, Pennsylvania.
NOTE: This affidavit is not complete unless: 1) all spaces are
properly completed; 2) accompanied by a boundary map
(E - above); 3) accompanied by eligibility waivers for any
participants otherwise ineligible (Charter Committee, II(d)
IV(h); 4) a copy of the “Statement in Lieu of Acceptable Proof
of Birth” for all players who lack such acceptable proof, along
with copies of all documentation used to obtain the statement;
and 5) accompanied by residence/school enrollment eligibility
documentation.
D. Eligibility of Players: A player may be deemed ineligible
by the Tournament Committee because of a violation
of Little League Rules and Regulations regarding: 1)
participation in games or practices; 2) league age; 3)
residence or school attendance (as defined by Little
League Baseball, Incorporated); or 4) participation for at
least 60 percent of the regular season as an eligible player
in the proper division. If the Tournament Committee
deems any player to be ineligible, it may result in forfeiture
of tournament game(s), and/or removal of the team or
teams in the local league from tournament play, and/or
suspension or removal of personnel from further Little
1
This affidavit and all accompanying documentation is not
to be shared with or provided to opposing teams, media
personnel or any other persons unless specifically approved
in writing by the Tournament Committee in Williamsport,
Pennsylvania.
(continued)
Certification by Team Manager
By my signature below, I certify that all the information contained on this affidavit is true and correct, to the best of my knowledge.
I understand: 1. all of the Rules and Regulations pertaining to eligibility; 2. I am solely responsible for the eligibility of pitchers
on my team; 3. if an ineligible pitcher or player participates in a game for any reason, it may result in forfeiture, and/or removal
of participants, including players, manager and coaches, or the entire team named herein, from the International Tournament,
by action of the Tournament Committee in Williamsport; 4. I may lodge a protest in accordance with the Tournament Rules and
Guidelines, and that my team is not required to continue playing until such protest has been resolved, (A) to my satisfaction,
or, (B) by the Tournament Committee in Williamsport, the decision of which shall be final and binding; 5. that I must maintain
and carry all required eligibility documentation throughout all levels of play; 6. that I am fully eligible to be the manager of this
tournament team, and the coaches named on this affidavit are also eligible.
Signature of Manager_______________________________________________________ Date Signed_________________
Signature of Replacement Manager___________________________________________ Date Signed_________________
(Note: temporary replacements should not sign.)
Certification by League President and League Player Agent
We, (League President, please print) ___________________________________________________________,
and (Player Agent, please print) _______________________________________________________________,
have personally reviewed this affidavit, as well as all supporting documents (birth records, proof of residence or school attendance
as defined by Little League Baseball®, Incorporated, and proof of participation), regarding the tournament team herein. We
have read and understand all rules and regulations pertaining to the eligibility of all individuals named on this affidavit. By our
signatures below, we certify that the names, dates of birth and residences/school enrollment (as defined by Little League Baseball,
Incorporated) of the persons listed on this affidavit are true and correct, and have been substantiated by legal documentation that
is acceptable under Little League® standards, or statement in lieu thereof from Little League International Headquarters. I certify
that the manager, coaches and all players on this affidavit are fully eligible under all rules and regulations. Should a controversy
arise, we agree to accept the decision of the Charter Committee/Tournament Committee as final and binding.
Signature of League President________________________________________________ Date Signed_________________
Signature of Player Agent___________________________________________________ Date Signed_________________
Certifications by District Administrator and Ensuing Tournament Directors
By my signature below (or that of my authorized representative), I certify that the names, eligibility (as defined by Little League
Baseball, Incorporated) and dates of birth of the persons listed on this affidavit are true and correct, and have been substantiated by
legal documentation that is acceptable under Little League standards, or statement in lieu thereof from Little League International
Headquarters.
Signature of District Administrator___________________________________________ Date Signed_________________
*Tournament directors are verifying that they have reviewed the documents accompanying this affidavit and it appears to meet Little League standards for tournament participation.
Signature of Sectional Tournament Director____________________________________ Date Signed_________________
Signature of State Tournament Director_______________________________________ Date Signed_________________
Signature of Divisional Tournament Director___________________________________ Date Signed_________________
Signature of Regional Tournament Director____________________________________ Date Signed_________________
Signature of World Series Tournament Director_________________________________ Date Signed_________________
2
Player Information
Playername
Information
Player’s
line: This should be the child’s full name, as listed on the birth document(s). If the name has been changed, then a “Statement
Player
Information
in
Lieu
of
Acceptable
Proof
of Birth”
thename,
Regional
Director
District
Administrator)
is required
for that
child then
to beaeligible.
Player’s name line: This
should
be the(issued
child’sby
full
as listed
on theorbirth
document(s).
If the name
has been
changed,
“Statement
Address:
The
address
listed
forBirth”
each
player
beRegional
inside
the
boundaries
asdocument(s).
detailed
on the
attached
mapbeen
(required,
seethen
previous
Player’s
line: This
should
be the(issued
child’smust
full
as listed
on theorbirth
If the
name
has
changed,
“Statement
in Lieu ofname
Acceptable
Proof
of
by
thename,
Director
District
Administrator)
is required
for that
child
to“E”
beaon
eligible.
page),
the
league
has received
waivermust
from
the
Charter
Committee
inasWilliamsport,
Pennsylvania,
for(required,
thethat
current
the
player
in
Lieuunless
of The
Acceptable
Proof
offorBirth”
by
thebe
Regional
Director
or District
Administrator)
is required
for
child
to“E”
befor
eligible.
Address:
address
listed
eacha(issued
player
inside
the
boundaries
detailed
on the
attached
map
seeyear
on
previous
in
question.
Address:
The
address
listed
for
each
player
must
be
inside
the
boundaries
as
detailed
on
the
attached
map
(required,
see
“E”
on
previous
page), unless the league has received a waiver from the Charter Committee in Williamsport, Pennsylvania, for the current year for the player
II(d)/IV(h):
If
address
listed
in
the
player’s
information
isCommittee
outside
thein
boundaries
as detailed
on the for
attached
mapby(required,
see
“E”
School
Enrollment:
Thehas
physical
location
of the
school
the player
attends
classes
is within
the boundaries
established
the local
page),
unless
thethe
league
received
a waiver
from
the Charter
Williamsport,
Pennsylvania,
the current
year
for theleague
player
in question.
on
previous
page),
then
that
player
is
eligible
ONLY
if
this
affidavit
is
accompanied
by
a
properly
completed
and
acceptable
Regulation
II
(required,
see
“E”
on
previous
page).
in
question. If the address listed in the player’s information is outside the boundaries as detailed on the attached map (required, see “E”
II(d)/IV(h):
(d)
Waiver Form,
Regulation
IVin
(h)
Waiver
Form,
orif athis
written
waiver
from
the Charter
Williamsport,
Pennsylvania,
for“E”
the
II(d)/IV(h):
If thea then
address
player’s
information
is outside
the boundaries
detailed completed
oninthe
attached
map
(required,
see
on previous
page),
thatlisted
player
isthe
eligible
ONLY
affidavit
is accompanied
by as
aCommittee
properly
and acceptable
Regulation
II
current
year.Form,
Please
markthat
theplayer
box
theor
appropriate
formisisaccompanied
attached
to this
on
page),
isindicate
eligible
ONLY
if athis
affidavit
by aaffidavit.
properly completed
and acceptable
Regulation
II
(d) previous
Waiver
a then
Regulation
IVto
(h)
Waiverthat
Form,
written
waiver
from
the Charter
Committee
in Williamsport,
Pennsylvania,
for the
DOB:
Acceptable
birth
any
of the following:
1.the
Original
of age document,
if issued
by federal, state
or
(d)
Waiver
aproof
Regulation
IVdocuments
(h)indicate
Waiverare
Form,
or
a written
waiver
Charter
Committee
in Williamsport,
Pennsylvania,
for the
current
year.Form,
Please
markofthe
box
to
that
theONE
appropriate
form isfrom
attached
to thisproof
affidavit.
provincial
registrars
of vital
statistics
in the are
country
in
which
thefollowing:
LittleisLeaguer
istoparticipating;
2. document,
If country of
participation
differs
from
current
year.
Pleaseproof
mark
boxdocuments
to indicate
thatany
theONE
appropriate
form
attached
thisproof
affidavit.
DOB: Acceptable
ofthe
birth
of the
1. Original
of age
if issued
by federal,
state
or
the
country
of proofproof
of
thethe
proof
of
age
must
beLeaguer
filed,
recorded,
registered
within
one (1)
of the
birth
DOB:
Acceptable
of document,
birth
documents
are
any
ONE
of the
1. Original
proof
of age
if issued
by year
federal,
state
or
provincial
registrars
of age
vital
statistics
in
country
indocument
which
thefollowing:
Little
is participating;
2.ordocument,
Ifissued
country
of
participation
differs
from
of
child;registrars
3.proof
A government-certified
copy
of
the
original
birththe
certificate,
if the
certificate
was
filed,within
recorded,
®original
is participating;
provincial
of age
vitaldocument,
statistics in
the
country
indocument
which
Little
is
2.or
Ifissued
country
of participation
from
thethe
country
of
of
the
proof
of age
must
beLeaguer
filed,
recorded,
registered
one registered
(1) yeardiffers
ofor
theissued
birth
within
one (1)
year
of
of the the
child;
A
issued
bybe
a local,
state,
provincial,
or or
national
authority
that
lists
the
country
of
of the
agebirth
document,
proof
ofdocument
age
document
must
filed,
recorded,
registered
issued
within
one registered
(1)
year ofor
theissued
birth
of the
child;
3.proof
A
government-certified
copy
of4.the
original
birth
certificate,
if the
original
certificate
was
filed,government
recorded,
the
date
of
birth,
with
reference
to
the
location
and
filed,
recorded,
registered
or
issued
date
of
the
original
birth
certificate.
(Such
original
of
the child;
3. A
government-certified
copy of4.the
original birth
certificate,
if thestate,
original
certificate
was filed,government
recorded, registered
issued
within
one (1)
year
of the birth of the child;
A document
issued
by a local,
provincial,
or national
authority or
that
lists
birth
certificate
must
registered
or issued
oneor
(1)
year
of
theofbirth
the child.);
5.
A “Statement
inthat
Lieu
of
within
one
(1) year
ofhave
the been
birth filed,
of
child;
4. A
document
issued within
by a local,
state,
provincial,
or of
national
government
authority
lists
the date
of birth,
with
reference
to therecorded,
location
and
filed, recorded,
registered
issued
date
the
original
birth
certificate.
(Such
original
Acceptable
Proof
of Birth”
issuedfiled,
arecorded,
Little
League
Regional
Director
or District
Administrator.
Note:
The
of 5.
birth
date documents
must
the
of birth,
with
reference
tobythe
location
and
filed, recorded,
registered
issued
date
the of
original
birth
certificate.
(Such
birthdate
certificate
must
have
been
registered
or issued
within
oneor
(1)
year of
theofbirth
the proof
child.);
A “Statement
in original
Lieu
of
personally
be
inspected
bybeen
the local
President,
Playerwithin
Agent,
AND
District
his/her
designated
appointee).
birth
certificate
must
have
filed,
recorded,
registered
or issued
one
(1)
year ofAdministrator
the birth
ofThe
the(or
child.);
A “Statement
in Lieu
of
Acceptable
Proof
of Birth”
issued
by aLittle
LittleLeague
League
Regional
Director
or District
Administrator.
Note:
proof
of 5.
birth
date documents
must
®Regional
Acceptable
Proof
of Birth”
by aLittle
LittleLeague
LeaguePresident,
or District
Note: The(or
proof
of birth
date documents
must
Regional Director
personally be
inspected
by issued
the local
Player Agent,
ANDAdministrator.
District Administrator
his/her
designated
appointee).
Games
Played
by Juneby
15:theIflocal
the number
of games
listed for
the player
is less Administrator
than 60 percent
those listed
for theappointee).
team (page
personally
be inspected
Little League
President,
Player
Agent,(page
AND4)District
(orofhis/her
designated
3),
then Played
the player
eligible
ONLY
if this affidavit
accompanied
by a written
waiver
the60
current
year
Charter
Committee
in
Games
by is
June
15: If
the number
of gamesislisted
for the player
(page 4)
is lessfor
than
percent
of from
thosethe
listed
for the
team (page
Williamsport,
Pennsylvania.
referisonly
tofor
actual
played4)
byisthe
(page
3) and
4).
The
Games
by is
June
15: The
If
thenumber
number
of games
listed
the games
player
(page
lessteam
than
60
percent
ofplayer
those(page
listed
forException:
the
team (page
3), then Played
the player
eligible
ONLY
if thismust
affidavit
accompanied
by a written
waiver
for
the
current
year
from
the
Charter
Committee
in
period
which
candidate
was
member
of aisonly
middle
school,games
junior
high school
high
school
or (page
softball
is not toThe
be
3),
thenduring
the player
is aeligible
ONLY
ifa this
affidavit
accompanied
by
a written
waiver
for
the
current
yearplayer
from
the
Charter
Committee
in
Williamsport,
Pennsylvania.
The
number
must
refer
to actual
played
by theorteam
(page
3) baseball
and
4).team,
Exception:
considered
in this
evaluation.
If this
isa the
case,refer
games
played
as a games
member
of aschool
school
be
on or
a separate
sheet
and
carried
Williamsport,
Pennsylvania.
The
number
must
to actual
by theorteam
(page
3) noted
and player
(page
4).team,
Exception:
period during
which
a candidate
was
member
of
a only
middle
school,
juniorplayed
high
highmust
school
baseball
softball
is not
toThe
be
with
this
affidavit.
(See
“Eligibility”
in
Tournament
and
Guidelines.)
period
during
which
a candidate
wasis
a the
member
aRules
middle
school,
junior high
highmust
school
baseball
softball team,
is not
to be
considered
in this
evaluation.
If this
case, of
games
played
as a member
of aschool
schoolorteam
be noted
on or
a separate
sheet and
carried
considered
in this evaluation.
If this is
case, games
played
as a member of a school team must be noted on a separate sheet and carried
with this affidavit.
(See “Eligibility”
in the
Tournament
Rules
and Guidelines.)
with this affidavit. (See “Eligibility” in Tournament Rules and Guidelines.)
Regular Season Team
Regular
Season Team
Information
Regular
Season
Team
Please list all regular
season
teams for this division
Information
Information
Please list all regular
season teams for this division
Regular
Season Team Code: The letter
Please list all regular season teams for this division
associated
with the
team.Code:
The team
Regular Season
Team
The noted
letter
must
be a Season
team
the
proper
division
this
Regular
Team
Code:
The of
letter
associated
withinthe
team.
The
team
noted
league
or
a
team
in
a
combination
approved
associated
with
the
team.
The
team
noted
must be a team in the proper division of this
by
thebe
Regional
Director
for the
level
of
must
proper
division
ofplay
this
league
ora ateam
teamin
inthe
a combination
approved
on
the
front
page
of
this
affidavit.
league
or
a
team
in
a
combination
approved
by the Regional Director for the level of play
by
the level of play
on the Regional
front pageDirector
of this for
affidavit.
Team
Name:
Name
as affidavit.
it appears on the
on the front
page
of this
regular
season roster.
Team Name:
Name as it appears on the
Team
Name as it appears on the
regularName:
season roster.
regular season roster.
Code
Team Name
Code
A
Ex:
Code
A
A
B
A
B
CB
B
C
DC
C
D
ED
D
E
E
EF
FF
G
F
G
H
G
G
H
H
I
H
JII
I
JJ
J
Team Name
Team Tigers
Name
Games Played
by June 15
Games Played
by June
15
15Played
Games
by June 15
Regular Season
Division
Regular Season
Division
LL
Majors
Regular
Season
Division
Manager/Coach Information
Manager/Coach
Information
Phone
Number(s): List day
and evening numbers. This will assist district staff in case of game rescheduling.
Manager/Coach
Information
Phone Number(s): List day and evening numbers. This will assist district staff in case of game rescheduling.
Phone Number(s): List day and evening numbers. This Manager/Coaches
will assist district staff in case of game rescheduling.
Manager/Coaches
Name
Day Phone
Address, City, Manager/Coaches
State/Province, Zip/Postal Code Team
code
M
M
M
CC
Name
Name
Address, City, State/Province, Zip/Postal Code
Address, City, State/Province, Zip/Postal Code
C
CC
C
C
C
3
3
3
3
Team
code
Team
code
Day Phone
Day Phone
League I.D.
Number
League I.D.
9999I.D.
Number
League
Number
Evening Phone
Evening Phone
Evening Phone
Player Name
Address of Parent or Legal Guardian OR ADDRESS OF SCHOOL
Birthdate (mm/dd/yy)
Residence(s) or School Inside Map?
____Yes
____No
League
Age
Games played
by June 15
by this player
Type of
Waiver
Team Code
Ex: John Smith
Ex
539 US Highway 15
Williamsport, PA 17701
01/01/2001
Team
Code
Games Played
Residence(s) or School Inside Map?
x
____Yes
____No
15
Initials
12
Reg. II(d)
Reg. IV(h)
Charter Committee
Team Code
1.
Residence(s) or School Inside Map?
____Yes
____No
Residence(s) or School Inside Map?
____Yes
____No
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Residence(s) or School Inside Map?
____Yes
____No
4.
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
____Yes
____No
5.
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
____Yes
____No
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Residence(s) or School Inside Map?
____Yes
____No
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Games Played
Residence(s) or School Inside Map?
____Yes
____No
Date App.
Date App.
Date App.
Initials
Date App.
Initials
Team Code
7.
Date App.
Initials
Team Code
6.
Date App.
Initials
Team Code
Residence(s) or School Inside Map?
02/05/2013
Initials
Team Code
Residence(s) or School Inside Map?
Date App.
Initials
Team Code
3.
I.N.T
Initials
Team Code
2.
District
Admin.
Approval
Reg. II(d)
Reg. IV(h)
Charter Committee
Date App.
Note Roster Size: Each roster will carry a minimum of 12 players unless waived by the District
Administrator with their signature on an affidavit. Maximum rosters Juniors and below 14, Seniors 16
and Big League 17.
Team Code
8.
Residence(s) or School Inside Map?
____Yes
____No
Initials
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Team Code
9.
Residence(s) or School Inside Map?
____Yes
____No
Initials
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Team Code
10.
Residence(s) or School Inside Map?
____Yes
____No
Residence(s) or School Inside Map?
____Yes
____No
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Residence(s) or School Inside Map?
____Yes
____No
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Residence(s) or School Inside Map?
____Yes
____No
14.
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
____Yes
____No
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Residence(s) or School Inside Map?
____Yes
____No
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Games Played
Residence(s) or School Inside Map?
____Yes
____No
Games Played
Residence(s) or School Inside Map?
____Yes
____No
Date App.
Initials
Reg. II(d)
Reg. IV(h)
Charter Committee
Date App.
Initials
Team Code
17.
Date App.
Initials
Team Code
16.
Date App.
Initials
Team Code
15.
Date App.
Initials
Team Code
Residence(s) or School Inside Map?
Date App.
Initials
Team Code
13.
Date App.
Initials
Team Code
12.
Date App.
Initials
Team Code
11.
Date App.
Reg. II(d)
Reg. IV(h)
Charter Committee
Date App.
Player Replacement
The spaces below are to be used for replacement of players. Such replacements MUST be permanent only. When a player
is replaced, his/her original space should be marked with a HEAVY black line. Once a player on the original affidavit is
replaced, he/she cannot return to the team. Exceptions can only be made in writing by the Tournament Committee in
Williamsport, Pennsylvania.
Player Name
Address of Parent or Legal Guardian OR ADDRESS OF SCHOOL
Birthdate (mm/dd/yy)
Residence(s) or School Inside Map?
____Yes
____No
Team
Code
League
Age
Games played
by June 15
by this player
Type of
Waiver
Team Code
A.
Residence(s) or School Inside Map?
____Yes
____No
Initials
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Team Code
B.
Residence(s) or School Inside Map?
____Yes
____No
Residence(s) or School Inside Map?
____Yes
____No
Date App.
Initials
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Team Code
C.
District
Admin.
Approval
Date App.
Initials
Games Played q Reg. II(d)
q Reg. IV(h)
q Charter Committee
Date App.
Manager/Coach Replacement
Temporary replacement (single game only) of a manager/coach should not be entered.
The replacement spaces below are to be used for permanent replacements only.
Name Name
M
C
C
Address,
State/Province, Zip/Postal
Code
Address,
City,City,
State/Province,
Zip/Postal
Code
Team
Team
code
Code
Day
DayPhone
Phone
Evening
Evening Phone
Phone
Baseball
Baseball
Pitch Pitch
CountCount
Data Sheet
Data Sheet
Baseball
PitchMaxCount
Data
Sheet
League
League
Max
# of
##ofDays
# Days League
League
Max
League:League:
____________________
____________________
League: ____________________
Division:Division:
___________________
___________________
Division: ___________________
(Additional
(Additional
blank data
blank
sheets
dataare
sheets are
(Additional
data
sheets are
available
LittleLeague.org)
available
at blank
www.littleleague.org)
at
www.littleleague.org)
available at www.littleleague.org)
Date of
Game
Date
of
Game
7/1
Date
Levelofof
Game
Play of
*
Level
Play *
11-12
Level of
Play *
Pitcher
Pitcher
Joe Smith
Pitcher
League
Age
League
Age
12
Player /Player
Manager
/ Manager
/ Coach /Name
Coach Name
Player / Manager / Coach Name
Ages
League
Ages
9 - 10
9 - 10
11 – 12
11 – 12
13 - 14
13 - 14
Ages
Pitches
Max
per
Day
Pitches
per Day
9 - 75
10
75
11 –85
12
85
13 -95
14
95
PitchesPitches
# of
per Day
Thrown
Pitches
Thrown
1-20
1-20
75 21-35
21-35
85 36-50
36-50
95 51-65
51-65
> 65
> 65
Pitches
Rest League
Ages
# Rest
Days
Thrown
Required
Required Ages
Rest
Required
Senior
1-20
0
0
League
Senior
0
21-351
1
13-16
14
– 16
League
1
14Big
– 16
36-502
2
League
Big
2
15-18
51-653
3
16
– 18
League
3
16 – 18
> 654
4
4
Score ** Score **
#
League
Own
OppOwn Pitches
Opp
Name of Opponent
Name of Opponent
Score **
#
Age
Thrown
Own
Opp
Name of Opponent
Pitches
Thrown
7
Downtown
8
21
Ages
Pitches
Max
per
Day
Pitches
per Day
Senior
League
95
14 –95
16
Big
League
105
16 –105
18
Max # of
PitchesPitches
# of
per DayThrown
Pitches
Thrown
1-30
95 1-30
31-45
31-45
46-60
105 46-60
61-75
61-75
> 75
> 75
# #ofDays
# Days
Pitches
Rest
# Rest
Days
Thrown
Required
Required
Rest
Required
1-30
0
0
0
31-451
1
1
46-602
2
2
61-753
3
3
> 75 4
4
4
#Days
Days Scorer
Tournament
Tournament
Director Director
##Days
#Official
Official
or Scorer or
Tournament
Manager Manager
Threshold
Rest Counter
Director
Signature
Signature
Pitches
Rest
Pitch
Pitch
Tournament
Director
#Rest
Days
Official
Scorer
or Counter
Initials
Initials
Reached
Manager
Needed
Initials
Thrown
Needed
Needed
Initials
Signature
Rest
Pitch
Counter Initials
Initials
Needed
Initials
I.N.T.
I.N.T.
20
RECORDRECORD
OF EJECTIONS
OF EJECTIONS
RECORD OF EJECTIONS
Opponent
Opponent
Date Date
Opponent
Date
0
I.N.T.
Tournament
Tournament
DirectorDirector
Signature
Signature
Tournament Director Signature
*The Level*The
of tournament
Level of tournament
play (i.e. district,
play (i.e.sectional,
district, sectional,
state, regional,
state, national,
regional, etc…)
national, etc…)
*The
Level
tournament
play
(i.e.
district,
sectional,
state,
regional,
national,
level
of tournament
play
(i.e.
District,
Sectional,
State,
Regional
and
Series)
**Score
should
**Score
beshould
the score
be
the
when
score
this
when
pitcher
this
finished
pitcher
pitching
finished
inpitching
that
game.
in World
that
Aetc…)
separate
game.
A sheet
separate
maysheet
be attached
may be ifattached
more space
if more
is required.
space is required.
**Score should be the score when this pitcher finished pitching in that game. A separate sheet may be attached if more space is required.
Baseball
Baseball
Pitch Pitch
CountCount
Data Sheet
Data Sheet
Baseball
PitchMaxCount
Data
Sheet
League
League
Max
# of
##ofDays
# Days League
League
Max
League:League:
____________________
____________________
League: ____________________
Division:Division:
___________________
___________________
Division: ___________________
(Additional
(Additional
blank data
blank
sheets
dataare
sheets are
(Additional
data
sheets are
available
atblank
LittleLeague.org)
available
available
at
www.littleleague.org)
at
www.littleleague.org)
available at www.littleleague.org)
Date of
Game
Date
of
Game
Date
Levelofof
Game
Play of
*
Level
Play *
Level of
Play *
Pitcher
Pitcher
Pitcher
League
Age
League
Age
Player /Player
Manager
/ Manager
/ Coach /Name
Coach Name
Player / Manager / Coach Name
Ages
League
Ages
9 - 10
9 - 10
11 – 12
11 – 12
13 - 14
13 - 14
Ages
Pitches
Max
per
Day
Pitches
per Day
9 - 75
10
75
11 –85
12
85
13 -95
14
95
PitchesPitches
# of
per Day
Thrown
Pitches
Thrown
1-20
1-20
75 21-35
21-35
85 36-50
36-50
95 51-65
51-65
> 65
> 65
Pitches
Rest League
Ages
# Rest
Days
Thrown
Required
Required Ages
Rest
Required
Senior
1-20
0
0
League
Senior
0
21-351
1
13-16
14
– 16
League
1
14Big
– 16
36-502
2
League
Big
2
15-18
51-653
3
16
– 18
League
3
16 – 18
> 654
4
4
Score ** Score **
#
League
Own
OppOwn Pitches
Opp
Name of Opponent
Name of Opponent
Score **
#
Age
Thrown
Own
Opp
Name of Opponent
Pitches
Thrown
Ages
Pitches
Max
per
Day
Pitches
per Day
Senior
League
95
14 –95
16
Big
League
105
16 –105
18
Max # of
PitchesPitches
# of
per DayThrown
Pitches
Thrown
1-30
95 1-30
31-45
31-45
46-60
105 46-60
61-75
61-75
> 75
> 75
# #ofDays
# Days
Pitches
Rest
# Rest
Days
Thrown
Required
Required
Rest
Required
1-30
0
0
0
31-451
1
1
46-602
2
2
61-753
3
3
> 75 4
4
4
#Days
Days Scorer
Tournament
Tournament
Director Director
##Days
#Official
Official
or Scorer or
Tournament
Manager Manager
Threshold
Rest Counter
Director
Signature
Signature
Pitches
Rest
Pitch
Pitch
Tournament
Director
#Rest
Days
Official
Scorer
or Counter
Initials
Initials
Reached
Manager
Needed
Initials
Thrown
Needed
Needed
Initials
Signature
Rest
Pitch
Counter Initials
Initials
Needed
Initials
RECORDRECORD
OF EJECTIONS
OF EJECTIONS
RECORD OF EJECTIONS
Opponent
Opponent
Date Date
Opponent
Date
Tournament
Tournament
DirectorDirector
Signature
Signature
Tournament Director Signature
*The Level*The
of tournament
Level of tournament
play (i.e. district,
play (i.e.sectional,
district, sectional,
state, regional,
state, national,
regional, etc…)
national, etc…)
*The
of
play
(i.e.
district,
sectional,
state,
regional,
national,
*TheLevel
level
oftournament
tournament
play
(i.e.
District,
Sectional,
State,
Regional
and
World
Series)
**Score
should
**Score
beshould
the score
be
the
when
score
this
when
pitcher
this
finished
pitcher
pitching
finished
inpitching
that
game.
in that
Aetc…)
separate
game.
A sheet
separate
maysheet
be attached
may be ifattached
more space
if more
is required.
space is required.
**Score should be the score when this pitcher finished pitching in that game. A separate sheet may be attached if more space is required.