Please use this form ONLY if a majority of your players live in Alpine, Calaveras, Merced, San Joaquin, Stanislaus or Tuolumne Counties.

Please complete the form below to obtain a user Name and Password to access the CCASA District 7 Individual Insurance/Registration web site. Please enter your requested user name and password along with the additional information needed.

In the "TYPE" field if you are:

Any travel team/All-Star enter "A" or "B", please enter "Travel" in the "Type" field.

Any recreational or non-travel team, please enter "Recreationa" in the "Type" field.

All fields with * are required.

New for ALL Travel Teams. Prior to Registrations you MUST submit to a background check. Please click HERE for more information. There will be NO exceptions to this policy. If you have any questions, please contact Sandy Tudor Distirct 7 JO Commissioner.

Again for 2018 Recreation Leagues may submit their registration using our Excel spreadsheet. If you are interested in this process and want more information, please click here.

 
 
League Name*:
Contact Name*:
Address*:
City*:
State*:
* Zip:
Home Phone*:
Example: 555-123-4567
Work Phone*:
Cell Phone*:
Email Address*:
User Name*:
 
Password*:
 
League President: City:
League Address: State:
Zip:
League Web Site URL:
League Phone #: League Email:
Enter additional comments below:
Enter Security Code: