payment.mps02155.org
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104.17.164.123
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Submitted URL: https://www.payment.mps02155.org/
Effective URL: https://payment.mps02155.org/
Submission: On July 13 via automatic, source certstream-suspicious — Scanned from DE
Effective URL: https://payment.mps02155.org/
Submission: On July 13 via automatic, source certstream-suspicious — Scanned from DE
Form analysis 1 forms found in the DOM
POST
<form class="fsForm" data-bluesnap-id="33b25061-e959-49b5-8f9c-b675388444a9" data-card-types="[%22visa%22, %22mastercard%22, %22amex%22, %22discover%22]" data-currency="USD" id="fsForm_1592" method="post"><input name="submission_uuid" type="hidden"
value="345300ea-40f0-42e1-8643-6482c9472571">
<div class="fsFormFieldWrapper">
<div class="fsFormFieldBody">
<fieldset data-required="true" id="field_16_1592">
<legend>Parent or Gaurdian<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></legend>
<div class="fsFormFieldChildren">
<div class="fsFormFieldWrapper fsFormFieldElementFirst">
<div class="fsFormFieldBody"><input aria-labelledby="fsFormFieldHint_17_1592" autocomplete="given-name" class="fsFormField" data-required="true" id="field_17_1592" maxlength="255" minlength="0" name="field_17" type="text" required=""
aria-invalid="false">
<div class="fsFormFieldHintText" id="fsFormFieldHint_17_1592">First Name</div>
</div>
</div>
<div class="fsFormFieldWrapper fsFormFieldElementLast">
<div class="fsFormFieldBody"><input aria-labelledby="fsFormFieldHint_18_1592" autocomplete="family-name" class="fsFormField" data-required="true" id="field_18_1592" maxlength="255" minlength="0" name="field_18" type="text" required=""
aria-invalid="false">
<div class="fsFormFieldHintText" id="fsFormFieldHint_18_1592">Last Name</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<div class="fsFormFieldWrapper"><label for="field_39_1592">Address</label>
<div class="fsFormFieldBody"><input class="fsFormField" id="field_39_1592" maxlength="255" minlength="0" name="field_39" type="text"></div>
</div>
<div class="fsFormRowWrapper">
<div class="fsFormFieldBody">
<div class="fsRowDisplay" id="field_36_1592">
<div class="fsFormFieldChildren">
<div class="fsFormFieldWrapper"><label for="field_37_1592">email</label>
<div class="fsFormFieldBody"><input class="fsFormField" id="field_37_1592" maxlength="255" minlength="0" name="field_37" type="text"></div>
</div>
<div class="fsFormFieldWrapper"><label for="field_38_1592">Phone Number</label>
<div class="fsFormFieldBody"><input class="fsFormField" id="field_38_1592" maxlength="255" minlength="0" name="field_38" type="text"></div>
</div>
</div>
</div>
</div>
</div>
<div class="fsFormFieldWrapper">
<div class="fsFormFieldBody">
<fieldset id="field_19_1592">
<legend>How many students are you submitting payment for?</legend>
<div class="fsFormFieldLayoutInline">
<div class="fsFormFieldOption"><input id="field_19_1592_1" name="field_19" type="radio" value="1"><label for="field_19_1592_1">1</label></div>
<div class="fsFormFieldOption"><input id="field_19_1592_2" name="field_19" type="radio" value="2"><label for="field_19_1592_2">2</label></div>
<div class="fsFormFieldOption"><input id="field_19_1592_3" name="field_19" type="radio" value="3"><label for="field_19_1592_3">3</label></div>
<div class="fsFormFieldOption"><input id="field_19_1592_4" name="field_19" type="radio" value="4"><label for="field_19_1592_4">4</label></div>
</div>
</fieldset>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules" data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%2C%222%22%2C%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%5D"><label
for="field_53_1592">Student 1 Full Name<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></label>
<div class="fsFormFieldBody"><input class="fsFormField" data-required="false" id="field_53_1592" maxlength="255" minlength="0" name="field_53" placeholder="first and last name" type="text" aria-invalid="false"></div>
</div>
<div class="fsFormRowWrapper">
<div class="fsFormFieldBody">
<div class="fsRowDisplay" id="field_42_1592">
<div class="fsFormFieldChildren">
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules" data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%2C%222%22%2C%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_26_1592">
<legend>Student 1 Fees - Fall<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_26_1592_1" name="field_26" type="checkbox" value="Cross Country"><label for="field_26_1592_1">Cross Country ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_26_1592_2" name="field_26" type="checkbox" value="Cheer"><label for="field_26_1592_2">Cheer ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="200" id="field_26_1592_3" name="field_26" type="checkbox" value="Football"><label for="field_26_1592_3">Football ($200.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_26_1592_4" name="field_26" type="checkbox" value="Soccer"><label for="field_26_1592_4">Soccer ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_26_1592_5" name="field_26" type="checkbox" value="Crew"><label for="field_26_1592_5">Crew ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_26_1592_6" name="field_26" type="checkbox" value="Golf"><label for="field_26_1592_6">Golf ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_26_1592_7" name="field_26" type="checkbox" value="Volleyball (girls)"><label for="field_26_1592_7">Volleyball (girls) ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_26_1592">Please select up to 1 choice</div>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules" data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%2C%222%22%2C%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_41_1592">
<legend>Student 1 Fees - Winter<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_41_1592_1" name="field_41" type="checkbox" value="Basketball"><label for="field_41_1592_1">Basketball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="200" id="field_41_1592_2" name="field_41" type="checkbox" value="Hockey"><label for="field_41_1592_2">Hockey ($200.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_41_1592_3" name="field_41" type="checkbox" value="Gymnastics"><label for="field_41_1592_3">Gymnastics ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_41_1592_4" name="field_41" type="checkbox" value="Swimming"><label for="field_41_1592_4">Swimming ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_41_1592_5" name="field_41" type="checkbox" value="Indoor Track"><label for="field_41_1592_5">Indoor Track ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_41_1592_6" name="field_41" type="checkbox" value="Cheer"><label for="field_41_1592_6">Cheer ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_41_1592">Please select up to 1 choice</div>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules" data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%2C%222%22%2C%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_40_1592">
<legend>Student 1 Fees - Spring<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_40_1592_1" name="field_40" type="checkbox" value="Baseball"><label for="field_40_1592_1">Baseball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_40_1592_2" name="field_40" type="checkbox" value="Softball"><label for="field_40_1592_2">Softball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_40_1592_3" name="field_40" type="checkbox" value="Lacrosse"><label for="field_40_1592_3">Lacrosse ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_40_1592_4" name="field_40" type="checkbox" value="Outdoor Track"><label for="field_40_1592_4">Outdoor Track ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_40_1592_5" name="field_40" type="checkbox" value="Crew"><label for="field_40_1592_5">Crew ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_40_1592_6" name="field_40" type="checkbox" value="Tennis"><label for="field_40_1592_6">Tennis ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_40_1592_7" name="field_40" type="checkbox" value="Volleyball (boys)"><label for="field_40_1592_7">Volleyball (boys) ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_40_1592">Please select up to 1 choice</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules"
data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%2C%222%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%2C%7B%22values%22%3A%5B%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22not_any%22%7D%5D"><label
for="field_54_1592">Student 2 Full Name<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></label>
<div class="fsFormFieldBody"><input class="fsFormField" data-required="false" id="field_54_1592" maxlength="255" minlength="0" name="field_54" placeholder="first and last name" type="text" aria-invalid="false"></div>
</div>
<div class="fsFormRowWrapper">
<div class="fsFormFieldBody">
<div class="fsRowDisplay" id="field_45_1592">
<div class="fsFormFieldChildren">
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules"
data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%2C%222%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%2C%7B%22values%22%3A%5B%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22not_any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_27_1592">
<legend>Student 2 Fees - Fall<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_27_1592_1" name="field_27" type="checkbox" value="Cross Country"><label for="field_27_1592_1">Cross Country ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_27_1592_2" name="field_27" type="checkbox" value="Cheer"><label for="field_27_1592_2">Cheer ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="200" id="field_27_1592_3" name="field_27" type="checkbox" value="Football"><label for="field_27_1592_3">Football ($200.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_27_1592_4" name="field_27" type="checkbox" value="Soccer"><label for="field_27_1592_4">Soccer ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_27_1592_5" name="field_27" type="checkbox" value="Crew"><label for="field_27_1592_5">Crew ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_27_1592_6" name="field_27" type="checkbox" value="Golf"><label for="field_27_1592_6">Golf ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_27_1592_7" name="field_27" type="checkbox" value="Volleyball (girls)"><label for="field_27_1592_7">Volleyball (girls) ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_27_1592">Please select up to 1 choice</div>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules"
data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%2C%222%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%2C%7B%22values%22%3A%5B%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22not_any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_44_1592">
<legend>Student 2 Fees - Fall<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_44_1592_1" name="field_44" type="checkbox" value="Basketball"><label for="field_44_1592_1">Basketball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="200" id="field_44_1592_2" name="field_44" type="checkbox" value="Hockey"><label for="field_44_1592_2">Hockey ($200.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_44_1592_3" name="field_44" type="checkbox" value="Gymnastics"><label for="field_44_1592_3">Gymnastics ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_44_1592_4" name="field_44" type="checkbox" value="Swimming"><label for="field_44_1592_4">Swimming ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_44_1592_5" name="field_44" type="checkbox" value="Indoor Track"><label for="field_44_1592_5">Indoor Track ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_44_1592_6" name="field_44" type="checkbox" value="Cheer"><label for="field_44_1592_6">Cheer ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_44_1592">Please select up to 1 choice</div>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules"
data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%2C%222%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%2C%7B%22values%22%3A%5B%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22not_any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_46_1592">
<legend>Student 2 Fees - Fall<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_46_1592_1" name="field_46" type="checkbox" value="Baseball"><label for="field_46_1592_1">Baseball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_46_1592_2" name="field_46" type="checkbox" value="Softball"><label for="field_46_1592_2">Softball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_46_1592_3" name="field_46" type="checkbox" value="Lacrosse"><label for="field_46_1592_3">Lacrosse ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_46_1592_4" name="field_46" type="checkbox" value="Outdoor Track"><label for="field_46_1592_4">Outdoor Track ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_46_1592_5" name="field_46" type="checkbox" value="Crew"><label for="field_46_1592_5">Crew ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_46_1592_6" name="field_46" type="checkbox" value="Tennis"><label for="field_46_1592_6">Tennis ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_46_1592_7" name="field_46" type="checkbox" value="Volleyball (boys)"><label for="field_46_1592_7">Volleyball (boys) ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_46_1592">Please select up to 1 choice</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules"
data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%2C%7B%22values%22%3A%5B%222%22%2C%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22not_any%22%7D%5D"><label
for="field_55_1592">Student 3 Full Name<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></label>
<div class="fsFormFieldBody"><input class="fsFormField" data-required="false" id="field_55_1592" maxlength="255" minlength="0" name="field_55" placeholder="first and last name" type="text" aria-invalid="false"></div>
</div>
<div class="fsFormRowWrapper">
<div class="fsFormFieldBody">
<div class="fsRowDisplay" id="field_47_1592">
<div class="fsFormFieldChildren">
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules"
data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%2C%7B%22values%22%3A%5B%222%22%2C%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22not_any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_34_1592">
<legend>Student 3 Fees - Fall<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_34_1592_1" name="field_34" type="checkbox" value="Cross Country"><label for="field_34_1592_1">Cross Country ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_34_1592_2" name="field_34" type="checkbox" value="Cheer"><label for="field_34_1592_2">Cheer ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="200" id="field_34_1592_3" name="field_34" type="checkbox" value="Football"><label for="field_34_1592_3">Football ($200.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_34_1592_4" name="field_34" type="checkbox" value="Soccer"><label for="field_34_1592_4">Soccer ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_34_1592_5" name="field_34" type="checkbox" value="Crew"><label for="field_34_1592_5">Crew ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_34_1592_6" name="field_34" type="checkbox" value="Volleyball (girls)"><label for="field_34_1592_6">Volleyball (girls) ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_34_1592">Please select up to 1 choice</div>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules"
data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%2C%7B%22values%22%3A%5B%222%22%2C%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22not_any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_48_1592">
<legend>Student 3 Fees - Winter<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_48_1592_1" name="field_48" type="checkbox" value="Basketball"><label for="field_48_1592_1">Basketball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="200" id="field_48_1592_2" name="field_48" type="checkbox" value="Hockey"><label for="field_48_1592_2">Hockey ($200.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_48_1592_3" name="field_48" type="checkbox" value="Gymnastics"><label for="field_48_1592_3">Gymnastics ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_48_1592_4" name="field_48" type="checkbox" value="Swimming"><label for="field_48_1592_4">Swimming ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_48_1592_5" name="field_48" type="checkbox" value="Indoor Track"><label for="field_48_1592_5">Indoor Track ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_48_1592_6" name="field_48" type="checkbox" value="Cheer"><label for="field_48_1592_6">Cheer ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_48_1592">Please select up to 1 choice</div>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules"
data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%2C%223%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%2C%7B%22values%22%3A%5B%222%22%2C%221%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22not_any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_49_1592">
<legend>Student 3 Fees - Spring<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_49_1592_1" name="field_49" type="checkbox" value="Baseball"><label for="field_49_1592_1">Baseball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_49_1592_2" name="field_49" type="checkbox" value="Softball"><label for="field_49_1592_2">Softball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_49_1592_3" name="field_49" type="checkbox" value="Lacrosse"><label for="field_49_1592_3">Lacrosse ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_49_1592_4" name="field_49" type="checkbox" value="Outdoor Track"><label for="field_49_1592_4">Outdoor Track ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_49_1592_5" name="field_49" type="checkbox" value="Crew"><label for="field_49_1592_5">Crew ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_49_1592_6" name="field_49" type="checkbox" value="Tennis"><label for="field_49_1592_6">Tennis ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_49_1592_7" name="field_49" type="checkbox" value="Volleyball (boys)"><label for="field_49_1592_7">Volleyball (boys) ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_49_1592">Please select up to 1 choice</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules" data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%5D"><label for="field_56_1592">Student 4 Full
Name<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></label>
<div class="fsFormFieldBody"><input class="fsFormField" data-required="false" id="field_56_1592" maxlength="255" minlength="0" name="field_56" placeholder="first and last name" type="text" aria-invalid="false"></div>
</div>
<div class="fsFormRowWrapper">
<div class="fsFormFieldBody">
<div class="fsRowDisplay" id="field_50_1592">
<div class="fsFormFieldChildren">
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules" data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_35_1592">
<legend>Student 4 Fees - Fall<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_35_1592_1" name="field_35" type="checkbox" value="Cross Country"><label for="field_35_1592_1">Cross Country ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_35_1592_2" name="field_35" type="checkbox" value="Cheer"><label for="field_35_1592_2">Cheer ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="200" id="field_35_1592_3" name="field_35" type="checkbox" value="Football"><label for="field_35_1592_3">Football ($200.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_35_1592_4" name="field_35" type="checkbox" value="Soccer"><label for="field_35_1592_4">Soccer ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_35_1592_5" name="field_35" type="checkbox" value="Crew"><label for="field_35_1592_5">Crew ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_35_1592_6" name="field_35" type="checkbox" value="Golf"><label for="field_35_1592_6">Golf ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_35_1592_7" name="field_35" type="checkbox" value="Volleyball (girls)"><label for="field_35_1592_7">Volleyball (girls) ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_35_1592">Please select up to 1 choice</div>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules" data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_51_1592">
<legend>Student 4 Fees - Winter<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_51_1592_1" name="field_51" type="checkbox" value="Basketball"><label for="field_51_1592_1">Basketball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="200" id="field_51_1592_2" name="field_51" type="checkbox" value="Hockey"><label for="field_51_1592_2">Hockey ($200.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_51_1592_3" name="field_51" type="checkbox" value="Gymnastics"><label for="field_51_1592_3">Gymnastics ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_51_1592_4" name="field_51" type="checkbox" value="Swimming"><label for="field_51_1592_4">Swimming ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_51_1592_5" name="field_51" type="checkbox" value="Indoor Track"><label for="field_51_1592_5">Indoor Track ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_51_1592_6" name="field_51" type="checkbox" value="Cheer"><label for="field_51_1592_6">Cheer ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_51_1592">Please select up to 1 choice</div>
</div>
</div>
<div class="fsFormFieldWrapper fsStateHidden" data-conditional-operator="all_rules" data-conditional-rules="%5B%7B%22values%22%3A%5B%224%22%5D%2C%22field_id%22%3A19%2C%22operator%22%3A%22any%22%7D%5D">
<div class="fsFormFieldBody">
<fieldset data-choice-limit="1" id="field_52_1592">
<legend>Student 4 Fees - Spring<span class="fsStyleSROnly">Please select up to 1 choice</span></legend>
<div class="fsFormFieldLayoutColumns fsFormFieldLayoutColumns1 fsFormColumnDirectionVertical">
<div class="fsFormFieldOption"><input data-price="175" id="field_52_1592_1" name="field_52" type="checkbox" value="Baseball"><label for="field_52_1592_1">Baseball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_52_1592_2" name="field_52" type="checkbox" value="Softball"><label for="field_52_1592_2">Softball ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_52_1592_3" name="field_52" type="checkbox" value="Lacrosse"><label for="field_52_1592_3">Lacrosse ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_52_1592_4" name="field_52" type="checkbox" value="Outdoor Track"><label for="field_52_1592_4">Outdoor Track ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_52_1592_5" name="field_52" type="checkbox" value="Crew"><label for="field_52_1592_5">Crew ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_52_1592_6" name="field_52" type="checkbox" value="Tennis"><label for="field_52_1592_6">Tennis ($175.00)</label></div>
<div class="fsFormFieldOption"><input data-price="175" id="field_52_1592_7" name="field_52" type="checkbox" value="Volleyball (boys)"><label for="field_52_1592_7">Volleyball (boys) ($175.00)</label></div>
</div>
</fieldset>
<div class="fsFormFieldHintText" id="fsFormFieldHint_52_1592">Please select up to 1 choice</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="fsFormPaymentSection fsStateHidden">
<h3>Payment Information</h3><span class="fsFormPaymentTotal">Total: $0.00</span>
<div class="fsFormFieldWrapper"><label for="fsFormPaymentEmail_1592">Email<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></label><input autocomplete="email" class="fsFormField"
id="fsFormPaymentEmail_1592" name="payment_email" type="email">
<div class="fsFormFieldHintText">Provide an email address for the receipt.</div>
</div>
<p class="fsFormPaymentCaptchaWarning fsStateHidden" style="color: red;">Please complete captcha below to proceed to payment selection.</p>
<fieldset class="fsFormPaymentTypes">
<legend>Please select a payment type<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></legend>
<div class="fsFormPaymentTypesContainer"><span class="fsFormFieldOption"><input data-instructions-id="fsFormPaymentArea_1592_1" data-payment-type="bluesnap" data-payment-type-id="33b25061-e959-49b5-8f9c-b675388444a9"
id="fsFormPaymentType_1592_1" name="payment_type" type="radio" value="Credit Card"><label for="fsFormPaymentType_1592_1">Credit Card</label></span></div>
<div class="fsFormPaymentAreas">
<div class="fsFormPaymentArea fsStateHidden" id="fsFormPaymentArea_1592_1">
<div class="fsFormPaymentCardInstructions"></div>
<div class="fsFormPaymentCardFields">
<fieldset class="fsFormPaymentAddress">
<legend>Billing Address<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></legend>
<div><label for="fsFormPaymentAddress_1592">Address</label><input autocomplete="street-address" class="fsFormField" id="fsFormPaymentAddress_1592" name="payment_address" type="text"></div>
<div><label for="fsFormPaymentCity_1592">City</label><input autocomplete="address-level2" class="fsFormField" id="fsFormPaymentCity_1592" name="payment_city" type="text"></div>
<div><label for="fsFormPaymentState_1592">State/Province</label><input autocomplete="address-level1" class="fsFormField" id="fsFormPaymentState_1592" name="payment_state" type="text"></div>
<div><label for="fsFormPaymentCountry_1592">Country</label><select class="fsFormField" id="fsFormPaymentCountry_1592" name="payment_country">
<option></option>
<option value="AF">Afghanistan</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia (Plurinational State of)</option>
<option value="BQ">Bonaire, Sint Eustatius and Saba</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="CV">Cabo Verde</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo (Democratic Republic of the)</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czechia</option>
<option value="CI">Côte d'Ivoire</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="VA">Holy See</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran (Islamic Republic of)</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea (Democratic People's Republic of)</option>
<option value="KR">Korea (Republic of)</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">Macedonia (the former Yugoslav Republic of)</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia (Federated States of)</option>
<option value="MD">Moldova (Republic of)</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestine, State of</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="RE">Réunion</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin (French part)</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan, Province of China</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania, United Republic of</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom of Great Britain and Northern Ireland</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="US">United States of America</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela (Bolivarian Republic of)</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands (British)</option>
<option value="VI">Virgin Islands (U.S.)</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
<option value="AX">Åland Islands</option>
</select></div>
<div><label for="fsFormPaymentZipCode_1592">Zip/Postal Code</label><input autocomplete="postal-code" class="fsFormField" id="fsFormPaymentZipCode_1592" name="payment_zip_code" type="text"></div>
</fieldset>
<fieldset class="fsFormPaymentCardholder">
<legend>Cardholder Name<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></legend>
<div>
<div><input autocomplete="cc-given-name" class="fsFormField" id="fsFormPaymentFirstName_1592" name="payment_first_name" type="text"><label for="fsFormPaymentFirstName_1592">First</label></div>
<div><input autocomplete="cc-family-name" class="fsFormField" id="fsFormPaymentLastName_1592" name="payment_last_name" type="text"><label for="fsFormPaymentLastName_1592">Last</label></div>
</div>
</fieldset>
<div class="fsFormPaymentBlueSnapContainer">
<script src="https://ws.bluesnap.com/web-sdk/4/bluesnap.js" type="text/javascript"></script>
<div><label>Card Number<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></label>
<div data-bluesnap="ccn"></div>
</div>
<div><label>Expiration<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></label>
<div data-bluesnap="exp"></div>
</div>
<div><label>CVV Number<span aria-hidden="true" class="fsFormFieldRequiredIndicator">*</span><span class="fsStyleSROnly">required</span></label>
<div data-bluesnap="cvv"></div>
</div>
</div>
</div>
<div class="fsPaymentError fsError fsStateHidden"></div>
</div>
</div>
</fieldset>
</div>
<div class="fsFormControls fsStyleAlignCenter"><input aria-hidden="true" aria-label="hidden field" autocomplete="new-password" class="fsHPDirectDatabaseInput" name="username" tabindex="-1" type="password">
<div class="fsFormCaptcha fsHPDirectDatabaseInput fsHPCaptcha">
<script src="https://www.recaptcha.net/recaptcha/enterprise.js"></script>
</div>
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MEDFORD PUBLIC SCHOOLS USER FEES No Family is to exceed $500.00 for the three sports seasons (fall, winter and spring). This form requires Javascript to be enabled for submission and authorization. * Required Parent or Gaurdian*required First Name Last Name Address email Phone Number How many students are you submitting payment for? 1 2 3 4 Student 1 Full Name*required Student 1 Fees - FallPlease select up to 1 choice Cross Country ($175.00) Cheer ($175.00) Football ($200.00) Soccer ($175.00) Crew ($175.00) Golf ($175.00) Volleyball (girls) ($175.00) Please select up to 1 choice Student 1 Fees - WinterPlease select up to 1 choice Basketball ($175.00) Hockey ($200.00) Gymnastics ($175.00) Swimming ($175.00) Indoor Track ($175.00) Cheer ($175.00) Please select up to 1 choice Student 1 Fees - SpringPlease select up to 1 choice Baseball ($175.00) Softball ($175.00) Lacrosse ($175.00) Outdoor Track ($175.00) Crew ($175.00) Tennis ($175.00) Volleyball (boys) ($175.00) Please select up to 1 choice Student 2 Full Name*required Student 2 Fees - FallPlease select up to 1 choice Cross Country ($175.00) Cheer ($175.00) Football ($200.00) Soccer ($175.00) Crew ($175.00) Golf ($175.00) Volleyball (girls) ($175.00) Please select up to 1 choice Student 2 Fees - FallPlease select up to 1 choice Basketball ($175.00) Hockey ($200.00) Gymnastics ($175.00) Swimming ($175.00) Indoor Track ($175.00) Cheer ($175.00) Please select up to 1 choice Student 2 Fees - FallPlease select up to 1 choice Baseball ($175.00) Softball ($175.00) Lacrosse ($175.00) Outdoor Track ($175.00) Crew ($175.00) Tennis ($175.00) Volleyball (boys) ($175.00) Please select up to 1 choice Student 3 Full Name*required Student 3 Fees - FallPlease select up to 1 choice Cross Country ($175.00) Cheer ($175.00) Football ($200.00) Soccer ($175.00) Crew ($175.00) Volleyball (girls) ($175.00) Please select up to 1 choice Student 3 Fees - WinterPlease select up to 1 choice Basketball ($175.00) Hockey ($200.00) Gymnastics ($175.00) Swimming ($175.00) Indoor Track ($175.00) Cheer ($175.00) Please select up to 1 choice Student 3 Fees - SpringPlease select up to 1 choice Baseball ($175.00) Softball ($175.00) Lacrosse ($175.00) Outdoor Track ($175.00) Crew ($175.00) Tennis ($175.00) Volleyball (boys) ($175.00) Please select up to 1 choice Student 4 Full Name*required Student 4 Fees - FallPlease select up to 1 choice Cross Country ($175.00) Cheer ($175.00) Football ($200.00) Soccer ($175.00) Crew ($175.00) Golf ($175.00) Volleyball (girls) ($175.00) Please select up to 1 choice Student 4 Fees - WinterPlease select up to 1 choice Basketball ($175.00) Hockey ($200.00) Gymnastics ($175.00) Swimming ($175.00) Indoor Track ($175.00) Cheer ($175.00) Please select up to 1 choice Student 4 Fees - SpringPlease select up to 1 choice Baseball ($175.00) Softball ($175.00) Lacrosse ($175.00) Outdoor Track ($175.00) Crew ($175.00) Tennis ($175.00) Volleyball (boys) ($175.00) Please select up to 1 choice PAYMENT INFORMATION Total: $0.00 Email*required Provide an email address for the receipt. 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