Capitol City Baseball Association
2012 Registration, March 22nd, Morse Middle School, 5:30 – 7:00 PM
GENDER Boy Shirt Size: Child Small Do you play club/summer soccer: NO
Phone: (parents work, home and/or cell)
Date of Birth: Age on April 30th, 2012: 11 years old-Majors Division (see chart below): Pee Wee 7-8 years old
Family Doctor/Phone Number:
Did Player Play in 2011?: YES if yes, what Position(s):
Player Prefers (circle preference): Infield Outfield Catcher Pitcher
Parents: Our program is supported by concessions. The concession buildings at each of our fields must be open and
operating whenever there is a game going on. Every parent or guardian is required to take a turn working concessions. Parents
or guardians will be required to umpire the games. If your child is new to CCBA, you must provide a copy of your child’s
birth certificate with your child’s registration.
Which position will you check below, to help make the program run smooth this year?
Coach Assistant Coach Team Parent Field Maintenance Umpire
Waiver: In consideration of the Capitol City Baseball Association’s acceptance of my son or daughter’s participation in this
program, I waiver any and all claims for myself and my heirs that I may have against the Capitol City Baseball Association, it’s
board, volunteers, staff, sponsors, officials, the City of Pierre, and the Pierre Public Schools for any injury or illness which may
directly or indirectly result from participation. I further state that my son or daughter is in proper physical condition to
participate in this baseball program.
Parent/Guardian: Date:7/22/2012 Registration Fee: $ $45
Equipment Donation: $ Received By:
Player Division Chart – 2012 Season
(Must turn of age or be of age by April 30, 2012)
Pee Wee’s 7 & 8 year olds Born May 1, 2003 through April 30, 2005 $40
Minor’s 9 & 10 year olds Born May 1, 2001 through April 30, 2003 $45
Major’s 11& 12 year olds Born May 1, 1999 through April 30, 2001 $45
With each registration, players will receive a $5 credit to the Jaycee batting cage located at the Oahe Sports Complex.
Financial Assistance will be available upon completion of required paperwork!
CAPITAL CITY BASEBALL SIGN UP
MARCH 22, 2012
TIME: 5:30 TO 7:00 PM
LOCATION: GEORGIA MORSE MIDDLE SCHOOL
(LOCATED AT CORNER OF CAPITOL AND HIGHLAND)
PLEASE USE THE CAPITOL ENTRANCE
Fill out the form on reverse side and bring it with you the night of registration.