Boys High School Basketball Fall Clinic 2021
Registration Form
 
August 31 - October 21, 2021
Tuesdays and Thursdays
6:00 - 7:30 AM
CCA Gym and CCA Auxiliary Gym
 
 $200

How many participants will you be registering? (max 5) *

Participant Information

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Current Total:
$0.00

Parent / Legal Guardian Information

Relationship to Participant(s): *
 

Health Insurance Information

List any physical or emotional limitations your child/participant may have: *
 
List any physical or emotional limitations your child/participant may have: *
 
List any physical or emotional limitations your child/participant may have: *
 
List any physical or emotional limitations your child/participant may have: *
 
List any physical or emotional limitations your child/participant may have: *
 
By checking this box, I confirm that the participant(s) is/are covered by Health Insurance. Participant(s) must have Health Insurance to participate in this camp. Please provide Health Insurance information below. *

Waiver Information

By clicking on this form, you confirm that you have read and agree to all terms in the above Waiver, Release, Assumption of Risk and Indemnification Agreement for Risks, Including But Not Limited To, Communicable Diseases (COVID-19). *
An email confirmation and payment receipt will be sent to the email address listed.
If you do not receive both of these emails, you have not successfully registered for the camp.  Be sure to check your spam folder.
Please contact camp support at accounting@canyoncrestfoundation.org if you need assistance.