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2017-2018 Season ~ Payment Plan MIDGET 1/2 Year Player & Goalie Try-Outs Fees –

Online Registration $89.00 (NON-REFUNDABLE)

Commitment Deposit

$500.00

Resident / Non-Res

Midget ½ Year PLAYER Resident / Non- Res

Midget ½ Year GOALIE

Walk-ins $100.00 (NON-REFUNDABLE)

(NON-REFUNDABLE APPLIED TOWARDS TUITION)

Commitment Deposit Team/Level



Total Fee

Payment Plan 1 Paid In-Full

Remaining Balance Payment Plan 2

Remaining Balance Payment Plan 3 Due: 6/1/17 Due: 7/1/17 Due: 8/1/17 Due: 9/1/17

Due: Signing Day

Due: 6/1/17

$ 950 / $ 1350

$ 500

$ 450 / $ 850

$ 225 / $ 425 6/1, 8/1

$ 112.50 / $ 212.50 6/1,7/1, 8/1, 9/1

$ 800 / $ 1100

$ 500

$ 300 / $ 600

$ 150 / $ 300 6/1, 8/1

$ 75 / $ 150 6/1,7/1, 8/1, 9/1

Due: 6/1/17 Due: 8/1/17

NON-Resident Prices are Highlighted Above Player Name:

Team/Level:

Street Address:

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Parent Names:

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Parent Name

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Please Select a Payment Plan ~ Check the Correct Payment and Type of Payment Payment Plan 1: One Payment Due: Payment Plan 2: Two Equal Payments Due: 6/1/17 6/1/17, 8/1/17 Payment Plan 3: Four Equal Payments Due: CASH Check #: 6/1/17, 7/1/17, 8/1/17, 9/1/17 Credit Card and e-check payments can be made online – sign onto www.westhavenyha.org Players not paid in full by September 1, 2017 will not be able to participate unless an arrangement has been agreed upon with WHYH Board. Parent’s Signature:

Date: