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PLAYER PAYMENT PLAN REQUEST FORM

Person Requesting Payment Play Setup (e.g. Parent, Coach, DOC, Staff, etc.)

First Name

Last Name

Parent Name

First Name

Last Name

Email Address

Players Name

First Name

Last Name

Coach/Team

Registration Fee Total

Down Payment

Upon submitting this form, you will be directed to a payment page where you can make the down payment. Down payment amount must be equal to or greater than monthly payment.

Monthly Payment Amount

Number of Payments

Maximum of 6 payments.

Other Important Details:

Acknowledgment

I have permission from the parents/card holder to set up this payment plan