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COLLEGE HILL YOUTH SPORTS
308 E College Street
Gunter, Texas 75058
(903) 433-1600

TRAINING AGREEMENT and BILLING AUTHORIZATION FORM

I authorize D4 Hilltop Properties, LLC (dba College Hill Youth Sports) to charge my credit card below for agreed upon purchases. I understand that my information will be saved to file for future transactions on my account.


Date Authorization Signed: September 17, 2021

I agree to allow College Hill Youth Sports to automatically charge my monthly $200.00 fee to my credit/debit card provided above each month on the same day training initiated.

 

PLEASE COMPLETE ALL FIELDS BELOW.
This authorization will remain in effect until cancelled.

First Paticipant's Name

First Name*

Middle Name

Last Name*

Phone*
First Paticipant's Date of Birth*
I certify that I am 18 years of age or older
First Paticipant's Signature*
Second Paticipant's Name

First Name*

Middle Name

Last Name*
Second Paticipant's Date of Birth*
Third Paticipant's Name

First Name*

Middle Name

Last Name*
Third Paticipant's Date of Birth*
Fourth Paticipant's Name

First Name*

Middle Name

Last Name*
Fourth Paticipant's Date of Birth*
Fifth Paticipant's Name

First Name*

Middle Name

Last Name*
Fifth Paticipant's Date of Birth*
Sixth Paticipant's Name

First Name*

Middle Name

Last Name*
Sixth Paticipant's Date of Birth*
Seventh Paticipant's Name

First Name*

Middle Name

Last Name*
Seventh Paticipant's Date of Birth*
Eighth Paticipant's Name

First Name*

Middle Name

Last Name*
Eighth Paticipant's Date of Birth*
Ninth Paticipant's Name

First Name*

Middle Name

Last Name*
Ninth Paticipant's Date of Birth*
Tenth Paticipant's Name

First Name*

Middle Name

Last Name*
Tenth Paticipant's Date of Birth*
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
I agree to pay for training on the date listed above in the amount of $200.00 each month. I understand that I am committing to the training and it is an open ended contract that can be terminated with a two week notice before the next payment is due. If for any reason the transaction does not go through, I understand there will be a $25.00 penalty fee. If for any reason a second transaction does not go through, I understand that my training agreement may be terminated.
Parent or Guardian Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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