Omaha Legends Soccer - U11- U19 Registration Form
Omaha


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U11- U19 Registration Form
Player Name
Age
DOB
Age Group (Check Age Group Matrix)
Have you ever had a player pass with the Legends?
Yes
No
Mother's Month and Day of birth (mm/dd)
Gender
Street Address
City, State, Zip Code
Mother's Name
Mother's Email
Mother's Cell
Father's Name
Father's Email
Father's Cell
Payment Type
Credit/Debit Card
Check (Only if paying "One Installment")
Checks payable to HappyFeet Legends Omaha
Mail to 4304 Ridgeway Rd. Omaha NE 68134
Billing Cyle is 11 months, July-May for U11 - U14
Billing Cyle is 8 months, July-Feb for U15 - U19
Card #
Exp Date
Payment Plan
Monthly Payments ( auto pay 1st of month CREDIT/DEBIT CARDS ONLY )
One Installment $809 for U11-U14 or $602 for U15 and up (due with registration)
Club and Coaching Dues Total = $69 per month
Team Dues(We expect an additional 20-35 per month)
for leagues, tournaments and indoor practices
Team Dues are invoiced on 8/1, 10/1 and 2/1
Annual Registration Fee $50
Jerseys approx $100 every 2-3 years
Jersey payment due with Aug 1 team dues
A 2% Fee will be added to Credit Card Transactions
By submitting this form I understand the following
My card will be charged for July Club Dues of $69 and for the Annual Registration Fee of $50
My card will be charged $69 on the first of each month thereafter for the appropriate billing cycle
I understand team dues will be invoiced separately from Club Dues .
Team dues are invoiced on August 1st, October 1st and February 1st.
Team dues = total cost of leagues, tourneys and indoor field rental divided by total players
I understand there will be a 2% fee on all credit/debit card transactions
Jersey cost will be billed with August 1 team dues if applicable
I understand paying one installment only covers club/coaching dues and not team/jersey dues
Please check all boxes if paying monthly
Check bottom 6 boxes if paying in One Installment
Questions? Contact Chris@OmahaLegends.com
Thank You!
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