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

Ages from 6 to senior level at all cricket skills levels, it's 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, Minimum Ten sessions & Two Games/Centre Wickets
Weekend Session: Saturday (June to August)
Session 1: 10am-1pm (Selected Rep Players only - U12, U13 & U14)
Session 2: 1pm-3pm  (U12 and above - Ungraded and Division 1) 
Session 3: 3pm-5pm   (Beginners from 6 years to 11 years - ungraded & new players)
Session 4: 5pm-8 pm (Potential First Grade, Senior players, Colts and 15 plus HP Players)

Head Coach: Dr Masud Rahman, 0422242666, or

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Email *
Player's Name *
Parent's Name *
Mobile Number *
Current Age, Club or School and (eg. 13 Years, North Canberra/Marist) *
Level of Cricket Experience *
Session and Payment *
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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