Please fill this Registration Form for the CCA Winter Program registration- learn cricket with an academic style coaching as well as an enjoyable environment.

Ages from 7 to senior level at all cricket skills level, its also an ideal program for those players wanting to trial for Cricket ACT Representative Level and Division 1 for your local clubs.

Location: CricketACT High-Performance Centre at 6 Spoering St, Phillip ACT 2606
Day: Every Saturday from June to August, Total 12 sessions
Session 1: 2-4pm (U12 and below)
Session 2: 4-6pm (Mostly U13 and above)
Session 3: 6-8pm (for potential first grade players)

Head Coach: Dr. Masud Rahman, 0422242666,
Email *
Player's Name *
Parent's Name *
Mobile Number *
Current Club or School and Age (eg. North Canberra/Harrison High, U13) *
Level of Cricket Experience *
Payment Confirmation *
Are you attending occasionally? Please indicates No of Weeks (Pro-rata cost may consider)
I understand that this registration will only be valid once the appropriate fee is paid off. Please direct deposit to Bank: Commonwealth Bank Account #10321086 BSB: 062903 A/C Name: Dr Masud Rahman, Ref. Players Name. Parents with financial difficulties or girls playing with a sibling, please contact to CCA official. *
Canberra Cricket Academy - A School of Hybridising Natural Talent with Cricketing Technique
A copy of your responses will be emailed to the address you provided.
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