JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Cornerstone Elementary Basketball/Cheer Registration 3rd - 6th Grade
Event Timing: Sunday, September 19, 2:00-4:00 OR online
Event Address: Cornerstone Gym, 1600 McCurdy Avenue N
Contact us at
hharrison@cca-eagles.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Parent Phone Number (text)
*
Your answer
Sport
Basketball
Cheer
Student Grade
*
2nd grade (will play up on 3rd grade team) boys
2nd grade (will play up on 3rd grade team) girls
3rd grade boys
3rd grade girls
4th grade boys
4th grade girls
5th grade boys
5th grade girls
6th grade girls
6th grade boys
Basketball Jersey/ Cheer Tshirt
*
I will use my jersey from last year. Cheer will need a new one this year.
Youth Small
Youth Medium
Youth Large
Youth XLarge
Adult Small
Adult Medium
Adult Large
What number did you have last year? (if none, please list top 3 choices for this year) This does not apply to cheer.
Your answer
Shorts (Basketball and Cheer)
Youth XSmall
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
I will use my basketball shorts from last year and do not need to purchase new ones. (Cheer will need new shorts)
Clear selection
I will purchase new pompoms for cheer ($20)
Yes, I need new pompoms
No, I have pompoms that I previously purchased
Clear selection
If you are interested in coaching or assistanting the program in anyway, please check any below. Brian Blessing (basketball) or Chelsea Espejo (cheer) will contact you ASAP to discuss the program's needs and discuss your best fit.
*
I am interested in being head coach
I am interested in being an assistant coach
I am interested in serving as concessions coordinator (plan, prepare food, prepare/clean concessions area, organize volunteers)
I am interested in serving as uniform coordinator
I am interested in serving as facility set up/clean up on Saturday game days
I am interested in serving as cook for game day (grill, deep fry)
I will serve as needed in concessions or gate on our Saturday Game Days
I have a packed schedule, but I can give financially to help cover funds being raised for volunteers. This will help pay for facility needs, equipment, etc.
I am interested in purchasing an ad to be displayed in the gym for $150.
Required
I understand that I will have to pay $25 for registration. The cost of uniform will be additional $30 (if you need a new one). Pompoms will be an additional $20. Checks can be made payable to CCA Athletics at registration on Sunday, September 19. Or, payment can be sent to
hharrison@cca-eagles.com
. Please send with option for PERSONAL/ FRIENDS. Please note is the MEMO: PEEWEE REGISTRATION FOR ______.
*
Yes, I will pay $25 for registration only
Yes, I will pay $55 for registration and uniform
Yes, I will pay $75 for cheer registration, uniform, and pompom
I will add extra amount to registration fee as a donation to help CCA Athletics.
I would like to purchase a gym ad. Please contact me for me information.
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Cornerstone Christian Academy.
Report Abuse
Forms