Please complete the form below to obtain a user Name and Password to access the CCASA Individual Insurance/Registration web site.

Please note, The release of liability form has been singed by each registered players parent or guardian and is on file at with the league prior to beginning the inputting of participants.

All fields with * are required

Please provide User information below. This is the person responsable for inputing information for the league. If you have any questions, please contact Bart Magellan at (209) 639-7353.
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* Zip:
Please provide League information below.
* Zip:
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