AA > 2020-2021 > U11 Atom (Page) > U11 T2 - Fee Payment Record (Sarnia Hockey)

U11 T2 - Fee Payment Record, U11 Atom (Page), 2020-2021, AA (Sarnia Hockey)

U11 T2 - Fee Payment Record

**OFFICIAL RECEIPT** This is your official record of payment to the U11 Tier 2 Cohort for the 2020-2021 Season. Please hold this for your records. This information is being stored on the SHA Database and will be held for 7 years

Payment Info

Day/Time of Payment^*

Required

What is this payment for?^*

Required

If "Other" Please Specify

How much? ($)^*

Required

Please provide 2 decimal places - 0.00

Method of Paymnet

Player Info

Players Last Name^*

Required

Players First Name^*

Required

Payee Info

Payees Last Name^*

Required

Payees First Name^*

Required

Payees Phone Number

Example: ###-###-####

Payees Email^*

Required

Example: you@yourdomain.com. Your submission will be sent to this address.

Team Official Taking Payment

I verify I am a REGISTERED TEAM OFFICIAL and have recorded payment for SHA Audit Committee

TEAM OFFICIALS ACKNOWLEDGMENT^*

U11 T2 - Fee Payment Record, U11 Atom (Page), 2020-2021, AA (Sarnia Hockey)

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