FC NOLA / F.C. New Orleans Youth Soccer Club After-School Payment Center – SSCS

IMPORTANT

The After-School Payment Center is designed to accept full payments only as the FC NOLA Soccer Program is a pre-paid activity. Families wishing to establish themselves into a monthly payment regime must select the link below in order to complete the appropriate form. All monthly payment contracts must be secured by a credit/debit card. This card will be charged on the last day of the month with the exception of the initial payment.

St. Stephen's Catholic After-School Soccer Payment Form

Player Birth Date *

Player's Name *

First

Player's Last Name *

Last

Parent's Name *

First

Parent's Last Name *

Last

Email - Primary *

Mobile Phone - Primary Parent/Guardian Contact

Home Address *

Home Address

City

State/Province

Zip/Postal

Country

Attach Player Photo (jpeg only files)

Maximum file size: 2MB

Medical Conditions

Emergency Contact Information Instructions

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