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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*
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
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
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
MM slash DD slash YYYY
Team Player 4 plays on
Coach's name (if known)
Age Chart
- 6 and Under (6U) (Players born Jan 1, 2017-May 15, 2018) $95
- 8 and Under (8U) (Players born in 2015 and 2016) $125
- 10 and Under (10U) (Players born in 2013 and 2014) $150
- 13 or 10U Academy team (10U) (Players born in 2013) $200
- 12 or 11U (Players born in 2012) Academy team $425, Rec $150
- 11 or 12U (Players born in 2011) ASA team $475, Rec $150
- 10 or 13U (Players born in 2010) ASA team $475, Rec $150
- 09 or 14U (Players born in 2009) ASA team $475, Rec $150
- 08 or 15U (Players born in 2008) ASA team $475, Rec $150
- 07 or 16U (Players born in 2007) ASA team $475, Rec $150
- 06 or 17U (Players born in 2006) ASA team $475, Rec $150
- 05 or 18U (Players born in 2005) ASA team $475, Rec $150
- 04 or 19U (Players born in 2004) ASA team $475, Rec $150
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
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Address*
Street Address Address Line 2 City State ZIP Code

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Briarwood Soccer Club

Briarwood Soccer Banquet
Briarwood Soccer Club Donation
Briarwood Soccer Club Fee Payment

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Briarwood Presbyterian Church is a congregation of the Presbyterian Church in America (PCA).

2200 Briarwood Way
Birmingham, AL 35243

205.776.5200
info@briarwood.org

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Briarwood Presbyterian Church is a congregation of the Presbyterian Church in America (PCA).

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