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Registration Form: Fall Basketball Clinic Series

We are excited to offer a series of Fall Basketball Clinics for Grades 1 through 9 in October of 2021. Register via the form below!

Fall Basketball Clinic Registration Form

Required

Parent's or Guardian's Namerequired
First Name
Last Name
Participant's Namerequired
First Name
Last Name
Must contain a date in M/D/YYYY format
Participant's Genderrequired
Participant's Grade
I will be attending:required1st-3rd Grade Clinic Pricing
1st-3rd Grade Clinic Pricing
I will be attending:required4th-9th Grade Clinic Pricing
4th-9th Grade Clinic Pricing
Select your Clinic Date:required
Select your two Clinic Dates:requiredPlease select up to 2 choices
Please select up to 2 choices
Select your three Clinic Dates:requiredPlease select up to 3 choices
Please select up to 3 choices

Emergency Contacts & Medical Info

Emergency Contact #1 Namerequired
First Name
Last Name
Emergency Contact #2 Namerequired
First Name
Last Name

Payment Information

Provide an email address for the receipt.
Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired
Expirationrequired
Please send your cash payment or a check made out to "Central Catholic High School" to: Ms. Casey Grange, Assistant Director of Athletics Central Catholic High School 300 Hampshire Street Lawrence, MA 01841

Clinic Series Details

Dates

  • Sunday, October 10
  • Sunday October 17
  • Sunday, October 24

Boys & Girls in Grades 1-3

  • 9:00 AM - 10:00 AM
  • $20 per session or $50 if you register for all 3 sessions.

Boys & Girls in Grades 4-9

  • 10:00 AM - 12:00 PM
  • $25 per session or $60 if you register for all 3 sessions.

Payment

  • Cash, check, or credit card
  • Please make checks payable to Central Catholic High School.

An adult must sign his or her children in before each session.

All players will receive a Central Catholic basketball.

*Central Catholic requires all participants and spectators to wear a mask in the gym.

Clinic Directors

Ms. Casey Grange

Ms. Casey Grange poses for a photo overlooking the Memorial Gymnasium

Girls Basketball Coach, Assistant Director of Athletics

Email: cgrange@centralcatholic.net

Mr. Mark Dunham

Mr. Mark Dunham

Boys Basketball Coach

Email: mdunham@centralcatholic.net

Boy shooting basketball
Girl shooting basketball
Boy driving with basketball
Girl bringing basketball up court