Boys Summer Program Registration

Z - 2018 Boys Summer Program Registration

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This form provides a record to Advancement Academy to register for our Summer Programs. It also provides the option to make your payment by credit card through Payapl or via check. If choosing to pay via Paypal, it will redirect you to PayPal to complete the processing of the payment. Please note that there is a 4% handling charge when paying through Paypal. Those wishing to pay by check, should select that choice and submit their payment to the club promptly.

Player Information

Athlete Name *

First

Athlete Name *

Last

Athlete School (Fall, 2018)

Athlete Grade *

Select grade of this athlete for Fall, 2018

Contact Information

Contact Name *

First

Contact Name *

Last

Contact Phone Number *

Contact Email *

Additional Info

Provide any additional information here.

Summer Programs

Program *

Session 1 - Middle School (Session complete)

Session 1 - High School (Session complete)

Session 2 - Middle School (Session complete)

Session 2 - High School (Session complete)

Session 3 - Middle School (July 23 - Aug 1)

Session 3 - HIgh School (July 23 - Aug 1)

Sess 1 - MS Cost

Sess 1 - HS Cost

Sess 2 - MS Cost

Sess 2 - HS Cost

Sess 3 - MS Cost

Sess 3 - HS Cost

Waiver of Liability

I, individually and as the parents(s) or guardian(s) of athlete named above, a minor, ask that he/she be admitted to participate in this event sponsored by the Advancement Academy. In consideration of the acceptance of this application, I, intending to be legally bound, hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claim for damages I may have against Advancement Academy, the directors, coaching staff, representatives and or assignees, for any and all damages which may be sustained and suffered by me (and the above named athlete) in connection with my association with or entry in this program(s), and which may arise in my traveling to, participating in, or returning from this program(s). Parent(s), guardian, authorize Advancement Academy and its staff to act in the best interest of the applicant, at Advancement Academy’s discretion, in the event of injury to the applicant.

By checking YES below, I agree to the Waiver of Liability above *

Yes

Payment Information

Specify how you prefer to make your Summer Program payment *

A2 Boys Summer Amount (US $)

Cost of the Program(s)

Paypal Handling Fee

Separate handling fee (in US $) for credit card/Paypal transactions

Total Cost

Total amount (in US $) you will pay

Payment Instructions
If you selected "Payment via Paypal", upon clicking the Submit button, you will be sent to PayPal to complete the transaction. PayPal is a leader in online transaction processing and ensures your transaction is handled securely. Note that Advancement Academy does NOT see your credit card information since the transaction is handled entirely by PayPal. Once you complete your payment through PayPal, payment notification will then come directly from PayPal and serve as your receipt. If you cancel your transaction upon reaching PayPal, you will not receive credit for payment and you must pay via check or through our Club Payment tab on the website.
If you selected "Payment via Check", please make your check payable to Advancement Academy and mail to the following address:
Advancement Academy Volleyball Club
459 Orange Point Drive, Suite C
Lewis Center, Ohio 43035

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