2151 W. 13th Street*P. O. Box 1966*Casper, WY 82602 - (307) 234-7087
Fax (307)234-4394
First Name:MI: Last Name:
Mailing Address:City:State:Zip:
Home Phone: Cell Phone:
Email Address:
Place of Employment:
Address:City:State:Zip:
Occupation: Work Phone:
Please list any children you have that will be or are in CYB during the current or upcoming season (ages 7 through 19 on August 1 of the season are eligible).
Name:Age:Division:Team:
Board Member Auxiliary Board Member Manager
Coach Assistant Coach Umpire Team Father/Mother
Park Maintenance Announcer Scorekeeper Park Manager
Concessions Other Explain "Other":
Manager Assistant Coach Umpire
Team Father/Mother Scorekeeper Park Manager
Announcer Park Maintenance
Other Explain "Other":
Date Form Completed by Applicant:
Print this form and deliver to the CYB office, or mail or fax it to us.
Updated on: February 19, 2008