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2023 Fall Basketball Registration
* Please fill out 1 form per participant.
Incomplete forms will
NOT
be accepted. Please fill out all required areas of this form. THANK YOU!
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* Indicates required question
Email
*
Your email
Please select player's age group:
*
4 to 6 Years Old (Coed Boys & Girls)
7 to 10 Years Old (Coed Boys & Girls)
Required
Please select player's skill level
*
Rookie (Pre-Beginning)
Starter (Beginner)
Intermediate
Required
Participant (Full Name)
*
Your answer
Player's Gender
*
Male
Female
Required
Date of Birth
*
Your answer
Age
*
Your answer
Address
*
Your answer
Postal Code
*
Your answer
Participant's Medical History (Please indicate any medical conditions that CCH should be aware)
*
Your answer
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