FORM - Player Payment | London Blizzard

London Blizzard Sledge Hockey Club

Player Payment Plan Agreement

London Blizzard Sledge Hockey Club is committed to ensuring that financial circumstances do not prevent athletes from participating in para ice hockey. Families and players requiring additional time to pay registration fees may request a payment plan through this agreement.

All payment plan requests are kept confidential and reviewed with the understanding that every situation is unique.

Athlete First name

Athlete Last name

Parent/Guardian (if under 18)

Phone

Address

Choose Program:

Junior Team (Ages 6-15)

Open Division (16+ Recreational)

Intermediate C Division (16+ Competitive)

Intermediate A Division (16+ Competitive)

Season (year)

Payment Plan Details

Total Registration Fee:

Amount Paid Today:

Remaining Balance:

Payment Method:

e-transfer

cheque

cash

Player Commitment

I understand that this payment plan has been approved to help make participation in the London Blizzard Sledge Hockey Club more accessible. I agree to make payments according to the schedule listed above and will communicate with the Club if circumstances change.

The London Blizzard understands that unexpected financial challenges can arise and encourages open communication should adjustments be required.

Player Signature

Date

Parent/Guardian Signature (if under 18)

Date

No player will be denied participation due to financial hardship. Please speak with a member of the Board if additional assistance is required.