JUVENTUS ACADEMY SAINT LOUIS: MYSA Card PAYMENT FORM 2021-2022

Welcome to the online MYSA Card PAYMENT FORM for the 2021/2022 seasonal year for JUVENTUS ACADEMY SAINT LOUIS.
 
CARD FEES:
Secondary Player Card:  $10.00
ADMIN Card (coach or TM):  $19.00
Note:  Primary players are paid thorugh the GotSport player registration
 
 
If you have any questions, please contact:
Kathy Powers | Vice President & COO
Cell/Text: (314) 570-7857
E-Mail: admin@juventusacademystl.com

TEAM INFORMATION

ASSIGNMENT #1

Role *
 
Team Gender *

ASSIGNMENT # 2

Role
 
Gender

ASSIGNMENT # 3

Role
 
Gender

PAYMENT AUTHORIZATION

I would like my payment to be deducted using the following type of account: *
TOTAL AUTHORIZED PAYMENT *
 

NOTES

CHECKING / SAVINGS INFORMATION

DEBIT / CREDIT CARD INFORMATION

<<< 5% card processing fee will be added

PAYMENT AUTHORIZATION

Please read and sign: *

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