CCYB 2021 Registration
This form lets us know that you wish to reserve a spot in any of our 2020 classes. Spots are given on a first-come first-serve basis. You will receive an email within 24-48 hours confirming your enrolment status.

This form also allows for pre-registration for one week trial for new prospective youth students.
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Email *
STUDENT INFORMATION
Child's First & Last Name *
Child's Birthdate *
Allergies or Medical Conditions? *
Gender
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CONTACT INFORMATION
Parent or Guardian First and Last Names *
Address *
City *
Zipcode *
Phone Number (home)
Phone Number (mobile) *
Emergency Contact *
Address *
Phone Number *
Relationship to Student
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