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CCYAA Basketball Program Registration (Thornhill 2017-2018 season)
Thornhill location - Thornlea Secondary School (8075 Bayview Ave, Thornhill). Please submit one form for each participant.
Program: *
Note: Rising Stars is for ages 3 to 5, Jr. NBA is for ages 5 to 7 and Steve Nash Youth Basketball is for ages 7+. Please submit one form for each participant.
Participant full name: *
Your answer
Has participant taken part in a prior season? *
If a returning Rising Stars or Jr NBA participant, do you require a new ball? *
Note: This only applies for Rising Stars and Jr. NBA participants (not applicable for Steve Nash participants). Please note if you are switching from Rising Stars to Jr NBA you will require a different ball
Full address: *
(include city and postal code)
Your answer
Email address(es): *
Include all email addresses that you want our distribution emails sent to.
Your answer
Home phone number: *
Your answer
Cell phone number: *
Your answer
Participant gender
Participant birth date
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Participant age *
Grade:
Your answer
School:
Your answer
Medical history:
(Please list any medical conditions that our staff should be aware of)
Your answer
Emergency contact
Include name and contact details
Your answer
Parent/Guardian name(s): *
Your answer
Waiver and release of liability
Confirmation of waiver and release liability *
Required
Parent/guardian signature: *
(please print your name)
Your answer
Date: *
MM
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DD
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YYYY
Payment Options
Option 1: Payment by cheque - Prepare cheque for $320 (or $310 if you are a returning Rising Stars or Jr NBA participant and do not require a ball) payable made to "Canadian Chinese Youth Athletic Association" and mail to the address indicated below. Please include the name of the participant(s), program name and time slot you have registered for on the cheque. Please do not send via courier.

Yolanda Chung
78 Twenty Ninth Street
Toronto, ON M8W 3B2

Option 2: Send an E-Transfer for $320 (or $310 if you are a returning Rising Stars or Jr NBA participant and do not require a ball) to payments@ccyaa.org. Please use ccyaa2017 as the password for the transfer. Also include the participant's full name and session in the memo of the E-transfer.

Select payment option
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