Futbol Club of Santa Rosa 2014-2015

Futbol Club of Santa Rosa 2014-2015 AGREEMENT TO PAY PLAYER FEES
COMPETITIVE PROGRAM/ U15 - U18 AGE GROUPS
Please circle one option:
7 MONTH TRAINING PROGRAM:
OPTION A:
PAYMENT IN FULL $750.00 DUE UPON REGISTRATION.
OPTION B:
$150.00 REGISTRATION FEE (DUE AT REGISTRATION)
$300.00 DUE AUGUST 1, 2014
$300.00 DUE JANUARY 1, 2015
OPTION C:
$150.00 REGISTRATION
$60.00 TO BE PAID ON 1ST OF EACH MONTH BEGINNING AUGUST 1, 2014 THRU MAY 1, 2015
******AUTO-PAY IS RECOMMENDED FOR MONTHLY PAYMENTS USING CREDIT/DEBIT CARD
By signing this form I understand that I am agreeing to pay the above amount to FCSR, and that my payments
are due on the first of every month. I also understand failure to pay installments in a timely manner will result
in the below named participant’s player card being pulled and the participant will not be allowed to practice,
participate in any games, or guest play with any other clubs until the account has been restored to good
standing. A $25.00 Late Fee will apply for payments not made by the agreement circled
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PARENT SIGNATURE
DATE
PLAYER NAME
TEAM