CYO Basketball Camp – Region 17 CYO Basketball

Dates: July 14-18, 2025

Time: 9:00a-2:00p (M-Th.), 9:00a-12:00p (Fri.)

Location: St. Agnes, West Chester

Who: Boys/Girls entering grades 3rd-8th

Cost: $235 (a portion of all registration goes directly back to player’s home CYO parish!)

General Info: The Region 17 CYO Basketball Camp is designed for children entering grades 3rd-8th in the fall of 2025. Camp will feature staff comprised of former CYO players/coaches and will feature guest speakers from area high school & college programs. During camp, players will be separated by upcoming grade so they can work on age appropriate skills & drills. Each day will consist of a combination of skill/drill work and games/competitions.

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Player Name(Required)

First Last

Gender(Required)

Date of Birth(Required)

Current Grade(Required)

Parrish Affiliation / School(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Shirt Size(Required)

Parent 1 Phone(Required)

Parent 1 Email(Required)

Parent 2 Phone

Parent 2 Email

Emergency Contact 1(Required)

First Last

Emergency Contact 1 Phone(Required)

Emergency Contact 2(Required)

First Last

Emergency Contact 2 Phone(Required)

Food Information

Pretzel snack available for $7.50 for the week - please order and pay on the Monday of camp in CASH
Pizza lunch Wednesday for $6 (2 slices of pizza) - please order and pay on the Monday of camp in CASH

Do you want to order any of the following foods?

Pretzel snack

Pizza lunch

Acknowledgement of Non-Refundable Portion(Required)

I agree

BY CLICKING HERE, I AM ACKNOWLEDGING THAT EACH INDIVIDUAL PARTICIPANT'S REGISTRATION HAS A $25 NON-REFUNDABLE PORTION INCLUDED. This non-refundable portion is allocated to costs associated with a registration. In the event of program cancellation, all monies will be refunded.

Release from Liability(Required)

I agree

I certify that my child is in good physical condition and is physically and psychologically prepared to participate in this program. I hereby give my consent to Region 17 CYO and DASH Basketball to provide my child, through staff of its choice, customary medical/athletic training attention, transportation, and emergency medical services as warranted in the course of my child's participation. I am fully aware of, and appreciate the risks, including the risk of catastrophic injury, paralysis, and even death, as well as other damages and losses associated with my child's participation in this event. I further agree on behalf of myself, my child and my heirs and personal representatives that Region 17 CYO/DASH Basketball and its Officials, employees, volunteers, agents and representatives, along with the coaches, volunteers, employees, agents, officers, and directors of this organization, shall not be liable for any injury, loss of life, or other loss or damage occuring as a result of my child's participation.