High School 
Fall 2023 - Roman Tran

Fall 2023 High School Player Acceptance Form - MONTHLY PAYMENTS - Roman Tran

Pay in 3 monthly payments of $412.00 ($1950 total season cost minus $750 in credits and includes a 3% credit card fee for monthly payments).

Player Name(Required)
Parent 1 Name(Required)
Parent 2 Name
Player Address(Required)
MM slash DD slash YYYY
Please enter a number from 00 to 99.
Please indicate your first choice for a uniform number (00 to 99). We cannot promise you will get your first choice but we will do our best to get you the number you want.
Please enter a number from 00 to 99.
Please indicate your second choice for a uniform number (00 to 99).
Please enter a number from 00 to 99.
Please indicate your third choice for a uniform number (00 to 99).
***PLEASE SELECT A QUANTITY OF 1 BELOW***. Monthly payments will auto draw from your credit card on the same day each month per the day you signed up, for 3 months.
Please select a quantity of 1
Credit Card(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date