Gr 5 U11 Academy 2022-23 - P3 Sports Inc.

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Program

Athlete Name*

Medical Concerns

School*

Jersey No. Request

Healthcare No.*

Grade*

Gender*

Preferred Position*

Current Team & Level*

Next Season Team & Level

Parent/Guardian #1 Name*

Parent/Guardian #1 Email*

Parent/Guardian #1 Phone*

Parent/Guardian #2 Name

Parent/Guardian #2 Email

Parent/Guardian #2 Phone

Emergency Contact Name

Emergency Contact Email

Emergency Contact Phone

Hockey Payment Options*

Payment Method

Pls send postdated cheques to:
P3 Sports inc
800 Griffin Road E,
Cochrane Ab T4C 2B8
Or drop them off at the P3 Sports office in SLSFSC.

Credit Card

Card Details

Cardholder Name

Standard A - Full Price $2595.60 (Incl gst)

Price:

Standard B - 25% Deposit + 1 payment $1946.70 (Incl gst)

Price:

USE CODE ACAD5SB

Premium A - Full Price $2910.60 (Incl gst)

Price:

Premium B - 25% Deposit + 1 payment $2182.95 (Incl gst)

Price:

USE CODE ACAD5PB

Premium C - 25% Deposit + 5 payments $436.59 (Incl gst)

Price:

USE CODE ACAD5PC

Standard B Recurring Fee (incl gst) (USE COUPON CODE: ACAD5SB)

Price:

Remainder of payment processed in a month.
TYPE ACAD5SB into the Coupon box to process the deposit amount.

Premium B Recurring Fee (incl gst) (USE COUPON CODE: ACAD5PB)

Price:

Remainder of payment processed in a month.
TYPE ACAD5PB into the Coupon box to process the deposit amount.

Premium C Recurring Fee (incl gst) (USE COUPON CODE: ACAD5PC)

Price:

Remainder of payment processed in five monthly installments. Includes additional 5% admin fee.
TYPE ACAD5PC into the Coupon box to process the deposit amount.

Do you have any coupons?

Coupon*

Please remember to put in the coupon code into the coupon box above process the deposit amount.

Total

$ 0.00 CAD

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Amount Paid(Credit Card)

Reference Form

Max. file size: 256 MB.

Consent*

I agree to the Terms & Conditions

Registration

P3 Sports

Gr 5 U11 Academy 2022/23