CASPER YOUTH BASEBALL

PLAYER REGISTRATION FORM

2151 W. 13TH STREET - PO BOX 1966 - CASPER, WY 82602

(307) 234-7087

DEADLINE: MARCH 15, 2008

*PARENTS PLEASE READ THE PLAYER INFORMATION SHEET (found under Applications on website).  PLEASE READ AND FILL OUT THIS ENTIRE FORM AND RETURN WITH UNIFORM FORM (found under Applications on our website), REGISTRATION FEE & BIRTH CERTIFICATE. FOR LATE REGISTRATION OR SCHOLARSHIP INFORMATION, PLEASE CONTACT THE CYB OFFICE. LATE FEE AFTER 3/15/08.

DIVISION AGES ARE AS FOLLOWS (APRIL 30TH IS THE DECIDING DATE): 1A (7-8), 2A (9-10), 3A (11-12),  5A (13-15), 6A (16-18)

PLAYER'S FIRST NAME: PLAYER'S LAST NAME:

AGE:    BIRTH DATE (MONTH/DAY/YEAR):  

ADDRESS:  

CITY:    STATE: ZIP:  

PHONE:   SCHOOL:  

DID REGISTRANT PLAY IN CYB LAST YEAR?      YES         NO

PARENT/GUARDIAN INFORMATION

MOTHER'S NAME:

MOTHER'S ADDRESS & PHONE NUMBER:

MOTHER'S EMPLOYER & WORK PHONE NUMBER

FATHER'S NAME:

FATHER'S ADDRESS & PHONE NUMBER:

FATHER'S EMPLOYER & WORK PHONE NUMBER

PARENTS/GUARDIANS: PLEASE READ CAREFULLY AND AFTER YOU PRINT THIS FORM, SIGN IT AT THE BOTTOM.  BY SIGNING THIS FORM YOU ARE CERTIFYING THAT YOU UNDERSTAND EVERYTHING YOU HAVE READ, AND THAT ALL OF THE INFORMATION PROVIDED ON THIS FORM IS CORRECT AND ABIDES BY ALL APPLICABLE POLICIES & PROCEDURES.

I/We the parents and/or guardians of this candidate for a position on a Casper Youth Baseball, Inc. team, hereby give my/our approval to participate in any and all league activities. I/We assume all risks and hazards incidental to such participation, including, but not limited to, transportation to and from the activities; and I/We do hereby waive, release, absolve managers, coaches, the organization, organizers, Board of Directors, employees, sponsors, participants, officials and any other persons transporting my/our child to and from activities; for any claim arising out of an injury to my/our child, whether the result of negligence or for any other cause.

IF YOU HAVE MORE THAN ONE CHILD PARTICIPATING IN CYB, YOU MUST FILL OUT A SEPARATE FORM FOR EACH CHILD.   FOR REGISTRATION FEE PURPOSES, PLEASE LIST ALL SIBLINGS PARTICIPATING.  THERE WILL BE A $5.00 DISCOUNT FOR EACH ADDITIONAL PARTICIPATING SIBLING IN HOUSEHOLD.

NAMES & AGES:

IF YOU CHOOSE NOT TO PARTICIPATE IN FUNDRAISING, THE REGISTRATION FEE OF $155 IS DUE BY MARCH 15, 2008. 

IF YOU CHOOSE TO PARTICIPATE IN FUNDRAISING, $55 IS DUE BY MARCH 15, 2008, WITH A MANDATORY FUNDRAISING AMOUNT OF $100 DUE BY APRIL 25, 2008.  EACH PARTICIPANT WILL BE ISSUED 10 "HOME RUN CARDS" TO SELL.  IF YOU SELL FEWER THAN YOUR 10 CARDS, YOU WILL OWE THE DIFFERENCE.   PLAYER WILL NOT BE ALLOWED TO PLAY IN ANY GAMES UNTIL ALL MONEY IS TURNED IN.

I/WE HAVE READ AND UNDERSTAND THE FUNDRAISING CRITERIA FOR THE 2008 CYB SEASON:

WE CHOOSE  TO PAY $155.00 NOW.  WE DO NOT WANT THE HOME RUN CARDS.*

WE CHOOSE  TO PAY $155.00 NOW.  WE DO WANT THE HOME RUN CARDS.*

WE CHOOSE TO PARTICIPATE IN "HOME RUN CARD" SALES.  WE WILL PAY $55 NOW AND THE REMAINING $100 BY APRIL 25.*

*Discounts may apply for siblings (see above) or using last years shirt (see uniform form) or using own pants (see uniform form).

_____ My child would be interested in playing on a competitive travel team or in a jamboree.

_____ We would be interested in finding out more about the umpire program. (Must be at least 14 years old).

I/WE UNDERSTAND THAT THE ENTIRE REGISTRATION PROCESS (INCLUDING ALL FORMS, FEES & BIRTH CERTIFICATE) MUST BE COMPLETED BEFORE MY/OUR CHILD CAN PARTICIPATE IN ANY CYB ACTIVITY SUCH AS PRACTICE OR GAMES.

PARENT/GUARDIAN SIGNATURE:_________________________________________________DATE:_______________________

After completing this form, print it, SIGN IT and mail or deliver it to the Casper Youth Baseball office with the Uniform form, registration fee & birth certificate.  IF YOU MAIL THIS FORM, YOU MUST COME IN TO THE OFFICE IF TO GET YOUR HOME RUN CARDS!!!