Athletic Registration/Fee Payment

Athlete Name*

First Last

Parent Name*

First Last

Parent Email*

Sport*

Boys Varsity Basketball

Price:

Boys JV, Frosh, Varsity B Basketball

Price:

Girls JV Basketball

Price:

Varsity Football*

Price:

Junior Varsity Football*

Price:

Cross Country*

Price:

Bowling*

Price:

Soccer*

Price:

Volleyball*

Price:

Cheerleading*

Price:

Indoor Track

Price:

Ice Hockey

Price:

Total

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name