Litchfield Youth Soccer League Travel Payment
Travel payment for the 2013-2014 season
Complete this form and the following PayPal forms to make a payment.

* Required
PARENT / GUARDIAN INFORMATION:
* First Name:     * Last Name:
* Phone:     E-mail:
PLAYER 1 INFORMATION:
* First Name: * Last Name:
Select the player's team from the following list to register with that team.
Team Registration Fee:     $
Complete the following section to purchase a uniform for the player. A complete uniform is a white and red jersey, a pair of shorts, and a pair of socks. You can leave the sizes as ? if you are not sure of the size.
Jersey Size: Red Quantity: White Quantity:     $
Shorts Size: Quantity:     $
Socks Size: Quantity:     $
Use the following entry to pay for something other than the standard registration fee or uniform costs. Use the comment section to provide any necessary details about this payment.
Miscellaneous Payment:    $
Sub-Total:    $
Comments:
PAYMENT:
Payment: $