Term 3 Payment Plan Registration Request

Payment plan requests will be decided upon by the committee

all payment plans need to be finalised before the end of term

Term 3 Payment plan registration

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Child's Name

First Name

Last Name

Date of Birth

Gender

What Age Group Division are your registering for?

Do You Give Permission for Border Sports Academy to seek Medical Advice and Treatment in the case of an Emergency?

Do you give Permission for your child to be Photographed for PR and Marketing Purposes

Do you agree to paying all fees before the End of Term