Athletics Payment: Swimming
Use this form to make payments when instructed to do so by Athletics Dept. staff.
Student Name
*
First Name
Last Name
Student Email
*
Student ID
*
Team
*
Please Select
Varsity
JV
Freshmen
Frosh/Soph
JV1
JV2
Parent/Guardian Confirmation Email
*
Confirmation will be sent to this address as well as student email address
Amount due
*
No dollar sign, include cents. (e.g. 195.25)
Amount due (hidden)
Swimming payment
*
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USD
Swimming payment
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: