Club Payment Club Payment Payment Instructions This form provides a record to Advancement Academy and the appropriate linkage to PayPal to complete the processing of a payment to the club of any type (dues, clinic, etc.). Upon submission of this form, you must complete the PayPal transaction to actually make your payment. Please note that there is a 4% handling charge when paying through Paypal for dues/deposit related payments.. Athlete Name * First Athlete Name * Last Contact Name * First Contact Name * Last Contact Email * Specify if this payment is associated with a club (and select that club) or for personal training * Personal Training A2 Girls Club (in Lewis Center) A2 Boys Club (in Lewis Center) A2 East (Girls in Granville) A2 West (Boys in Dayton) Specify which program item(s) you are paying for: * 2020-2021 Club Season Deposit ($500) Club Season Payment (Enter Amount Below) Other (Enter Amount Below) Tryout payment (New/Uncommitted Player) Tryout payment (Committed player) Team Age * 10 11 12 13 14 15 16 17 18 Team Name * Green Shamrock Emerald Jade Lime Kelly Hunter Forest Red - A2 Boys Scarlet - A2 Boys Cardinal - A2 Boys Gray - A2 Boys Blue - A2 East Navy - A2 East Sapphire - A2 East Navy - A2 West Crimson - A2 West Specify the trainer you wish to receive this payment * Jen Ainsworth Steve Brown Aleese Butler Erika Carter Taylor Clark Tina Cox Dave Dunn Ashanti Dyson Kevin Geary Clint Gentry Salomon Gicherman Yayra Fekpe Kate Henry Shelby Hirzel Emi Holsclaw Brett Holt Rylee Komminsk Laura Lemanski Tori Leonard Mike Lockhart Pierce Monnin Eva Opitz Andres Ortega Brenden Pence Dave Piper Sarah Rausch Reagan Rosi Savannah Saeger Sarah Schoenhagen Jessica Sekelsky Shaun Servick Rosanna Sguerra Jen Slogar Katie Smith Emily Weithman Alex Williams Other Specify the trainer you wish to receive this payment A2 Club Payment Amount (US $) * Enter the amount you wish to pay for the checked item above. Additional Info Provide any additional payment information here. A2 Club Payment Amount (in US $) that will be credited to your A2 account (or directed to a coach/trainer) Paypal Handling Fee Separate handling fee (in US $) for credit card/Paypal transactions Total Cost Total amount (in US $) you will pay once you are redirected to Paypal Payment Method * Paypal Since this page is specifically to allow for payment through Paypal, this is the only choice for this field. If you plan to pay by check, completion of this page is not needed. Payment Information 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. When 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 this payment process would need to be repeated. If you are human, leave this field blank.
