Fall 2023 Registration Balance Payment
Player Information
Name
First Name
Last Name
Parent/Guardian Information
Name
*
First Name
Last Name
Payment
*
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Balance Payment Option #1
$
100.00
Payment towards Fall 2023 Balance
Balance Payment Option #2
$
150.00
Payment towards Fall 2023 Balance
Quantity
1
2
3
4
5
6
7
8
9
10
Balance Payment Option #3
$
200.00
Payment towards Fall 2023 Balance
Processing Fee
$
3.00
Total
$
0.00
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