PA: King's College - ID Clinic

 Step 1 of 1

* Denotes a required field
Note: A service fee of $2.50 or 2.95% (whichever is greater) will be assessed for this payment and will appear on the CHECKOUT page. If you do not agree to these terms, please click CANCEL below and make different payment arrangements. VISA, MasterCard and Discover cards are accepted.

ATHLETE NAME:

*
*

AHTLETE CONTACT INFORMATION:

*
PRIMARY PHONE NUMBER*
-- ext
SECONDARY PHONE NUMBER 
-- ext
*
*
*
ZIP*
-
Second portion of ZIP Code is optional.
*

ATHLETE INFORMATION:

GRADUATION YEAR*
 
*
*
*
*
COST*
Note: Service Fees are non-refundable.
Note: To continue, please click CHECKOUT. However, if paying for another athlete for the soccer clinic, click ADD TO CART to enter their information. On the next page enter your e-mail address to receive an e-mailed receipt from this transaction.

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