COMMITMENT NIGHT FORMS

MONDAY, AUGUST 13TH

6:00 PM-8:00 PM

INSTRUCTIONS

After you have reviewed and read each document linked below, please complete the form below and check the final box to accept and acknowledge that you have read each form. Checking the final box is considered your electronic signature on each document and your acceptance of each document. Forms will be available ONLINE ONLY between 6 pm and 8 pm on Monday August 13th.

FINANCIAL AGREEMENT AND WAIVER

2018 PAYMENT PLAN

FPVC CONTRACT

PARENT GUIDELINES AND STANDARDS

NCVA LETTER OF COMMITMENT*

*please bring a signed copy of the Letter of Commitment to your 1st practice

Parent Name *
Parent Name
Parent Cell Phone *
Parent Cell Phone
Player Name *
Player Name
Player Cell Phone *
Player Cell Phone
Street, City, State, Zip
Payment Plan *
Below are all questions pertaining to the Payment Plan Document and the FPVC season fees. Please check the box below to let us know if you would like us to automatically take out monthly payments (based on the payment plan) or pay in full. Then please provide your credit card/debit card or checking account information.
Payment Method *
Please let us know if you are providing a credit card or your checking account information
Name on the credit card or checking account *
Name on the credit card or checking account
Expiration Date
Expiration Date
Visa and Mastercards please provide the 3 digit code on the back of the card. American Express please provide the 4 digit code on the front of the card
The routing numbers are the 9 digits on your checks before your checking account number
Digital Signature *