High School 
Fall 2023 
DELAYED/ALTERNATE PAYMENTS

Fall 2023 Player Acceptance Form - Delayed or Alternate Payment

This form is for those who will be paying for their son’s season through a payment other than credit card or who need to delay their payment for a month or two.

Player Name(Required)
Parent Name(Required)
Address(Required)
MM slash DD slash YYYY
Acceptance(Required)
Agreement(Required)
Agreement to Pay(Required)
This is only allowed if pre-approved by an Action Staff member.
This is only allowed if pre-approved by an Action Staff member.