Credit Card Authorization Form - East Celebrity Elite- Tewksbury

"*" indicates required fields

East Celebrity Elite Agreement / Credit Card Form

Parent/Guardian Name*

First Last

Email*

Phone*

Address*

Street Address City ZIP Code

Athlete Name*

First Last

Team*

How Would You Like Us To Process Your Payment?*

ALL ATHLETES MUST HAVE A VALID CREDIT CARD ON FILE

Charge monthly tuition.

Charge all fees.

I do not want my credit card charged for monthly tuition or additional fees. Any tuition/additional fees that are not paid by the 15th of the month will be automatically charged from the credit card on file.

Signature*