Academy Registration Fees

* Player's Name

* Birthdate (MM/DD/YY):

* Gender:

* Primary Email Address:

* Cell Phone Number:

* Additional Email Address:

* Additional Phone Number:

* Address:

* City:

* State:

* Zip:

* Parent/Guardian/Contact:

Each child will receive a FREE Academy t-shirt to wear to each practice session during the season. If you need to purchase additional practice t-shirts you can go to the Uniform page and order them online for $7.00. Please indicate the size your child will need below.

* Academy T-shirt size

* Is your child attending the Academy for the first time or are they returning from a previous season.

New to the Academy this season.

Returning to the Academy from a previous season.

Spring 2011 Registration Fee is $90 for a 10 week session. This fee also includes a BUSC Academy Training t-shirt. All Academy training will be held at Frank Nelson Park on 23rd Street.

For your convenience , you may pay by credit card or echeck online. If you are paying by check please make the check payable to Bay United Soccer Club or BUSC and mail payment to BUSC, P.O. Box 15275, Panama City, FL, 32406

Please print completed form to include with check when mailing or if paying at the fields attach completed form to check and bring to the fields the first night of practice.

For more detailed information regarding the BUSC Academy please visit our web site at www.bayunitedsoccer.org.

* Payment Type:

Credit Card (PayPal)

eCheck

Check - Pay at Fields

For information regarding any changes or updates for practices, games or cancellations due to weather, please check our web site.

Comments:

Once BUSC has received your order and payment you will receive an email confirmation. If you do not receive an email confirmation please contact us at busc@comcast.net

* Indicates Response Required