Baseball Payment Plan

2017 Spring Sports
Payment Plan Request Form
Baseball
Pay Plan: 3 month pay plan ( 1/20/, 2/20/,3/20/)

Child’s name: ________________________________________________________

Responsible Party for
Payment (Parent/Guardian): ____________________________________________
Address: ____________________________________________________________
Phone:________________________ Alt Ph: ________________________________
Email: ______________________________________________________________

1st Child
Sport fee $100.00
Including Uniform fee  ( shirt, hat, pants & socks)
Raffle fee $25.00
Annual Membership fee $15.00
TOTAL $140.00

Each Additional Child
Sport fee $$100.00
Including uniform  ( shirt, hat, pants & socks)

Only 1 child (BASEBALL)
January inst 1 of 3 $50.00
February inst 2 of 3 $45.00
March inst 3 of 3 $45.00
TOTAL: $140.00

Add to above amount, for each additional child (BASEBALL)
January inst 1 of 3 $35.00
February inst 2 of 3 $35.00
March inst 3 of 3 $30.00
TOTAL: $100.00

(internal use only)
Check # & amount:_____________________ payment 1 of 3 Date rcvd: ________
Check # & amount:_____________________ payment 2 of 3 Date rcvd: ________
Check # & amount:_____________________ payment 3 of 3 Date rcvd: ________

Payment plan requested by: ________________________________________
(print parent/guardian name)
Sign: _____________________________ Date: ______________________
(sign & date parent/guardian name) Parent/Guardian acknowledges, by signing this document, that my child(ren) will not be permitted by participate in MTAA sports until the full commitment of payment is made whole by agreed upon dates set forth in this agreement.

Please remit payment and completed form to:
Baseball Commissioner

If you wish to pay by credit card, please call our Financial Secretary,
Ernie Walker at 610-413-1814 or email him at Financial_Sec@mtaasports.com