Clone of 2026 CCCC Youth T-ball Registration

CCCC Youth T-ball/Rookie Registration

T-ball Birthdate Cutoff is 4 years old by May 1st 2026/ Rookie League Cutoff is 7 years old by May 1st 2026/ 9 years and older please register for 10u Baseball
Age Division *
Participant Full Name*

First NameLast Name
Birthdate *

MonthDayYear
Date
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School attending *
First Parent/Guardian Full Name*

First NameLast Name
Email Address*
example@example.com
I would like to head coach a teamI can assistant coachI am familiar with the sport and happy to help when I canI’m interested in joining the Baseball/softball committee to volunteer and advocate for the players and teams, help plan events, and assist with promotional content. (Committees meet 3–4 times a year.)
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Second Parent/Guardian Full Name

First NameLast Name
Email Address
example@example.com
I would like to head coach a teamI can assistant coachI am familiar with the sport and happy to help when I canI’m interested in joining the baseball/softball committee to volunteer and advocate for the players and teams, help plan events, and assist with promotional content. (Committees meet 3–4 times a year.)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Emergency Contact *

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Please indicate if you have a roster request (i.e cousins to be put together) (we will only accept requests for kids that are related and in the same age group) indicate child and relationship to child below
Jersey Size *
Media Release

By signing this form, I give permission for the Cheyenne County Community Center to use photos, videos, or digital images of my child for: Social media posts (Facebook, Instagram, etc.) The official Cheyenne County Community Center website
I understand that:

- My child’s name will not be used with their image unless I provide separate written consent.
- Images will be used only in a positive manner to promote programs and activities.
- This consent is voluntary, and I may revoke it in writing at any time by contacting the Cheyenne County Community Center.
Yes I grant permission for my child's image to be used as describedNo, I do not grant permission for my child's image to be used
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Basketball

$45.00 Quantity

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Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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CCCC Youth T-ball/Rookie Registration