CCA Girls Basketball Fall 2021 Clinic
Registration Form
September 15th to October 24th
For players who would like to prepare and improve their skills.
Clinics on Thursdays and Fridays, 5:30 to 7:00 PM
(NO clinic on Thursday, 9/16 - Make-up day is Wed., 9/15)
at the CCA Aux Gym
Games will be played on Sundays (schedule TBD)
beginning Sun., 9/19
at the CCA Gym

If you participated in the summer, 2021 clinic, you will be using the jersey that was previously provided to you.  (In this case, please use your unique discount code to register.)
For all other players or for those players who need a jersey, please register without a discount code.
This registration form is for one participant only.  If you need to register another student, please complete a new form.
How many participants will you be registering? (max 1) *

Participant Information

Current Total:

Parent / Legal Guardian Information

Relationship to Participant: *

Health Insurance Information

List any physical or emotional limitations your child/participant may have: *
By checking this box, I confirm that the participant is covered by Health Insurance. Participant 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 if you need assistance.