Saints Athletic Soccer Club
Select (U13-U19) Player Financial Agreement 2017-2018
PLEASE PRINT CLEARLY
Player Name: _____________________________________________
D.O.B.: ____________
Prospective Team (ex: Ross 05 Boys): ________________ Player # Preferences: ___________
Parent Name(s): ________________________________________________________________
Billing Email: _______________________________________ Phone: ____________________
Address: ______________________________________________________________________
Street
City
TX
Zip
Please choose (circle) a payment option below:
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Select Club Fee is $2,280 for a twelve (12) month commitment period
A. Check in full, up front for $2,200
B. $285/installment for eight (8) months (July-February) by check, or debit/credit
card
Please read and initial each contract agreement below:
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______ I/We understand our financial obligation to the team/club and understand it as a twelve (12)
month commitment.
______ I/We understand that the payment plan is a convenience to break down the full fee due and agree
to pay the amount in full.
______ I/We agree to pay within one (1) week of receipt of invoice, for each month (July-February) and
understand failure to keep the player account current can and will result in their suspension from both
practice and games, until the account balance is reconciled.
_____ I/We understand the uniform kit is separate and will be paid in full at the time of sizing and
ordering.
_____ I/We agree to allow our player to be photographed and their image used
_____ I/We agree to provide current state birth certificate upon request
PLAYER SIGNATURE: _______________________________________ DATE: ______________
PARENT SIGNATURE: ________________________________________ DATE: _____________