Academy Payment Forms
Email
example@example.com
Academy Payment
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( X )
Basketball Program Payment
Non-Refundable
$
3,550.00
Football Program Payment
Non-Refundable
$
5,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Softball Program Payment
Non-Refundable
$
3,000.00
Educational Materials
$
1,500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Equipment & Roster Fee
Non-Refundable
$
500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Application Fee
Non-Refundable
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Student Name
First Name
Last Name
Submit
Should be Empty: