Briarwood Soccer Club Fee Payment

USE THIS FORM TO PAY CLUB FEES ONLINE:

Parent Name*
First Last
Cell Phone*
Email*
Enter Email Confirm Email
Player Name 1*
First Last
Player 1 Date of Birth*
Date Format: MM slash DD slash YYYY
Team Player 1 plays on
Coach's name (if known)
Player Name 2
First Last
Player 2 Date of Birth
Date Format: MM slash DD slash YYYY
Team Player 2 plays on
Coach's name (if known)
Player Name 3
First Last
Player 3 Date of Birth
Date Format: MM slash DD slash YYYY
Team Player 3 plays on
Coach's name (if known)
Player Name 4
First Last
Player 4 Date of Birth
Date Format: MM slash DD slash YYYY
Team Player 4 plays on
Coach's name (if known)
FEE STRUCTURE

6 & under (U6)
Players must be born Jan. 1, 2015-May 15, 2016 $95

8 & under (U7/8)
Players born Jan. 1, 2014–Dec. 31, 2013 $125

10 & under (U9/10)
Players born Jan. 1, 2012–Dec. 31, 2011 Rec $150

10 & under (U9/10)
Players born Jan. 1, 2012–Dec. 31, 2011 Academy $200

11 & under (U11)
Players born Jan. 1, 2010–Dec. 31, 2010 Rec $150

11 & under (U11)
Players born Jan. 1, 2010–Dec. 31, 2010 Academy $425

12 & under (U12)
Players born January 1, 2009–December 31, 2009 Rec $150

12 & under (U12)
Players born Jan. 1, 2009–Dec. 31, 2009 Competitive $425

13 & under (U13)
Players born Jan. 1, 2008–Dec. 31, 2008 Rec $150

13 & under (U13)
Players born Jan. 1, 2008–Dec. 31, 2008 Competitive $450

14 & under (U14)
Players born Jan. 1, 2007–Dec. 31, 2007 Rec $150

14 & under (U14)
Players born Jan. 1, 2007–Dec. 31, 2007 Competitive $450

15 & under (U15)
Players born Jan. 1, 2006–Dec. 31, 2006 Rec $150

15 & under (U15)
Players born Jan. 1, 2006–Dec. 31, 2006 Competitive $450
Total Amount Paying*
Fee Option*
Would you help us cover the credit card processing fee?
- Yes
- No
Processing Fee
Price: $0.00
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Address*
Street Address Address Line 2 City State ZIP Code