Immaculate Conception Parish
Athletic Association Program Registration

Please answer the following questions before proceeding:

  1. Is your child enrolled at Immaculate Conception School?
  2. Are you a registered member of Immaculate Conception Parish?

If you can answer "YES" to any ONE of these questions please proceed with the online registration.

If you answer "NO" to BOTH questions please e-mail our ICAA President to obtain further details and instructions. If you register without approval your registration will be deleted from the system.

However, if your child has played ICAA sports in a prior season and the CYM has assigned your parish affiliation as "Immaculate Conception Parish", you do NOT need to send an e-mail. Simply proceed with registration and be sure to select a "non-parishioner" package at the end of the registration form.

Online Athletic Association Registration Form

Please check the following box before continuing to fill out the form:
I understand that to complete my registration, I must complete payment using the PayPal button at the end of the online registration process. If my athlete is in Grades 4 - 8, I must register them with CYM using this link as well as complete this parish registration. All registrations and fees must be completed and paid prior to practice.

Family Information
Family Name:
Parent/Guardian 1 Full Name:
Parent/Guardian 2 Full Name:
Child's Primary Residence: Address:
City:
  State:    Zip:
Child's Alternate Residence: Address:
City:
  State:    Zip:
Parent/Guardian 1 Phone Numbers: Home:
  Cell:
  Work:
Parent/Guardian 2 Phone Numbers: Home:
  Cell:
  Work:
Parent/Guardian 1 Email Address:
(you will receive an email confirmation at this address if filled in)
Parent/Guardian 2 Email Address:
(you will receive an email confirmation at this address if filled in)
Our family is currently registered at: Immaculate Conception Parish
- OR -
Parish


Athlete Information (First)
First Name:
Last Name:
Gender: Male     Female
Date of Birth:
Grade in School:
School Attending:
Sport registering for: Baseball Grades 6-8
Basketball Grades 5-6
Basketball Grades 7-8
Basketball Grades K-4
Cheerleading Grades K-3
Cross Country Grades 3-8
Soccer Grades 4-6
Soccer Grades 7-8
Soccer Grades K-3
Track Grades 3-8
Volleyball Grades 4-6
Volleyball Grades 7-8
Any special issues, allergies, or medical conditions:


Athlete Information (Second)
First Name:
Last Name:
Gender: Male     Female
Date of Birth:
Grade in School:
School Attending:
Sport registering for: Baseball Grades 6-8
Basketball Grades 5-6
Basketball Grades 7-8
Basketball Grades K-4
Cheerleading Grades K-3
Cross Country Grades 3-8
Soccer Grades 4-6
Soccer Grades 7-8
Soccer Grades K-3
Track Grades 3-8
Volleyball Grades 4-6
Volleyball Grades 7-8
Any special issues, allergies, or medical conditions:


Athlete Information (Third)
First Name:
Last Name:
Gender: Male     Female
Date of Birth:
Grade in School:
School Attending:
Sport registering for: Baseball Grades 6-8
Basketball Grades 5-6
Basketball Grades 7-8
Basketball Grades K-4
Cheerleading Grades K-3
Cross Country Grades 3-8
Soccer Grades 4-6
Soccer Grades 7-8
Soccer Grades K-3
Track Grades 3-8
Volleyball Grades 4-6
Volleyball Grades 7-8
Any special issues, allergies, or medical conditions:

You will receive an email confirmation with your registration information. Contact Melinda DeLia if you have any questions.