CYBL Registration Page

The 5-6 and 10-11 Year Old Divisions are full.  However, cancellations do occur and spots may open up.  While you may fill out this form, registration is not complete until payment is made at our office or on our online giving page ($75 per child).  

 

Please complete the form below For Each Child

Child Name *
Child Name
Date of Birth (Between Aug 31, 2006 and Sept 1, 2012)
Date of Birth (Between Aug 31, 2006 and Sept 1, 2012)
Age as of Sept 1, 2017 10-11
Parent Contact 1 *
Parent Contact 1
Cell/Home Phone *
Cell/Home Phone
Address
Address
Parent Contact 2
Parent Contact 2
Cell/Home Phone 2
Cell/Home Phone 2
Emergency Contact
Emergency Contact
Emergency Phone *
Emergency Phone
Please Check *
Volunteer(s)
I would like to help CYBL by serving as a(n)
Team requests will only be honored for immediate family members.