CERTIFICATION | Sam Jackson Tinymite

Parent/ Guardian you must complete this form and make the payment following to ensure your child can be certified for the 2025 Tinymite season

First name

Last name

Player Birthdate

What division is your child on

Tinymite {5-6yrs can turn 7 after July 31st}

8U {Can turn 9 after July 31st}

Player Headshot Photo

Headshot

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Age Verificattion

Plyer ID/ Passport/ Birthcert.

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Parent ID- If Needed {ID must match name on childs birth cerificate}

Driver's Lic./State ID

Upload supported file (Max 15MB)

Athlete's Instagram

First name

Last name

Phone

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