St. Peter Prince of Apostles Catholic Youth Organization (CYO)
Please indicate sport for which you are registering:
Soccer: ______ Volleyball: ______ Football_______ Basketball: ______ Track: ______ Baseball: ____
Child’s Name: ___________________________________________________________
Child’s Date of Birth: ____________________ Child’s Place of Birth:______________
Address: ______________________________________________ Zip: ______________
Home Phone: ____________________ Best Daytime Phone No.:___________________
Parish in which you RESIDE: ______________________________________________
Parish you ATTEND: ____________________________________________________
School: ______________________________________________ Grade: ___________
Father’s Name: _____________________ Mother’s Name: ____________________
Father’s Work No.: ____________________ Mother’s Work No.: __________________
Email address: ______________________________________ (please give an address that is checked so that coaches can use it to send practice & game information)
Uniform Size -Please Circle Size
Youth Small Youth Medium Youth Large
Adult Small Adult Medium Adult Large Adult X-Large
In an effort to further reduce CYO program costs, all players are required to turn in their uniforms to their coaches at the end of the season. An additional fee in the amount of the uniform will be assessed for each uniform not returned.
I hereby acknowledge receipt the CYO Refund Policy and the Participation Fee information.
________________________________________ (Signature)
A separate Archdiocese form must be filled out in person along with payment at time of registration. A child will not be added to the roster until both forms and payment have been received.
Payment Information (Cash or Check Number)
Soccer: _______ Volleyball: _______ Football: _______ Basketball: _______ Track: _______ Baseball: _______