Riverside Hockey Club

RIVERSIDE HOCKEY CLUB 2005-2006 REGISTRATION PLAYER NAME __________________________________________________ GRADE (2005-06) _________ SCHOOL _____________________________ PARENT NAME(S) _______________________________________________ ADDRESS ______________________________________________________ ______________________________________________________ PHONE _______________________________________________________ Email ________________________________________________________ Fee: $700.00 Deadline: Total fee due September 12, 2005 Please make checks payable to: Riverside Hockey Mailing address: Riverside Hockey Club P.O. Box 794 Painesville, Ohio 44077 PAYMENT OPTIONS: One payment: $700 due anytime before 09/12/05 Two-payment plan: $350.00 due in 2 separate payments 07/12/05 and 09/12/05 Four-payment plan: $175.00 due in 4 separate payments 06/15/05, 07/15/05, 08/15/04 and 09/15/05 Make your own plan: Send in increments of your choosing to total $700.00 by 09/12/05 NEW Pay by Credit card Check out this option to pay by credit card for a small fee (approx. $28) through our website at: http://eteamz.active.com/riversideclubhockey/