High School Player Acceptance - MONTHLY PAYMENTS

Summer 2022 Player Acceptance Form - Monthly Payments

3 monthly payments of 875.50. If you wish to pay the entire season at once, please fill out the "Full Payment" form.
Player Name(Required)
Parent Name(Required)
Address(Required)
MM slash DD slash YYYY
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 enter a number from 00 to 99.
Acceptance(Required)
Agreement(Required)
Price: $875.50
3 Monthly Payments. Includes 3% credit card fee. By selecting 1 for the quantity, you agree to have your card automatically charged $875.50 on a monthly basis for a total of 3 payments.
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date