Youth Player Acceptance
Full Payment

Fall 2022 Youth Player Acceptance Form - FULL PAYMENT

Pay the full season payment of $1,500 up front and save the 3% credit card fee. To pay in 4 monthly payments of $386 (includes a 3% credit card fee for monthly payments), please fill out the Monthly Payment form.
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).
Acceptance(Required)
Agreement(Required)
***PLEASE SELECT A QUANTITY OF 1 BELOW***
Please select a quantity of 1
Credit Card(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date