Conversations with Little Leaguers®

Parent / Legal Guardian Information

Parent or Legal Guardian of Participant

First Last

Your Email*

Your Phone*

Residence

City State

Time Zone

ET
CT
MT
PST

Best Way to Reach You*

Please provide the best way to reach you on updates to the application.

Text
Phone Call
Email

Player / Child Information

Your Relationship to the Player*

Parent or Court Appointed Legal Guardian
Grandparent
Other

Player / Child's Name*

First Last

Player Gender*

Female
Male
Non-binary
Prefer not to disclose

Which of the following best describes your child?*

Little League’s goal is to have diverse representation in these conversations, please select all that apply.

American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latinx
Native Hawaiian or Other Pacific Islander
White
Prefer not to answer
Other

What is your child’s religious affiliation?

Jewish
Christian (Catholic, Protestant, Adventist, or any other denomination)
Islam
Hindu
Buddhism
Atheist
Other, I am not religious
Prefer not to answer

Child's Birth Month*

Child's Birth Year*

Child's Sport*

Baseball
Softball
Challenger

Child Local Little League Name*

Child Local Little League Location*

City State

Child's Residence

City State

Questions for Parent or Guardian:

To help us identify and select participants for these sessions, please work with your player to answer the following questions:

Has the topic of race and inclusion been discussed with your child at home?

Yes
No

How do you expect your child to respond to a conversation on race, diversity and inclusion through sportsmanship? Scale 1 (Skeptical) to 5 (enthusiastic)

By submitting this application, parent/guardian agrees for their child to participate in this conversation, which will be recorded for internal purposes, responses may be used without additional approval in future communications to promote Little League International. Adult submitting this form agrees to receive communications from Little League International.

Questions for Child to Complete with Parent / Guardian:

To help us identify and select participants for these sessions, please work with your child to answer the following questions:

How would you describe the racial diversity of your team and/or league? Scale of 1 (not diverse) to 5 (very diverse)

Have you ever played for a coach that looks like you (same race)?

Yes
No

Have you ever felt excluded or like you didn’t fit in on a team?

Never
Rarely
Sometimes
Often

How would your Little League teammates describe you?

What does being a good teammate, classmate, or friend mean to you? Can you share an example of this?

Are there any other important things we should know about your experiences with Little League?

Describe a time where a teammate or classmate was left out and how you either helped or wished you had. Discuss the situation and how it made you feel.

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