Medina Youth Baseball 2008 Online Registration
Parent Information
If only one parent being registered, check box to disable Dad/Mom mirror feature:
Dad's Info
?
Non-residents (address above 1400) must obtain a Sport Activity Permit provided by the
City of Medina.
First:
Last:
Address:
City:
State:
Zip:
SAP #:
Contact Info
Home:
Work:
Cell:
Email:
Mom's Info
?
If Mom's information is different than Dad's, simply update the appropriate fields.
First:
Last:
Address:
City:
State:
Zip:
SAP #:
Contact Info
Home:
Work:
Cell:
Email:
Player Information - It may take a moment for the scripts to load up when clicking the buttons
Registration Summary
Player Name
DOB
League
League Fee
Payment Process
Step 1. Select Payment Process
Select a payment process.
Pay Process:
Pay By Visa/MC
Pay By Debit/Checking
Payment Amount: $
Step 2. Enter Credit Card Information
Enter a valid Visa, Mastercard or American Express Credit Card. The Credit Card type is automatically detected when you enter the card number.
Card Holder Name:
Card Number:
CVV Number:
Card Type:
Expiration Date:
(month/year)
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2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
Check Payment Details
Bank Routing #
Bank Account #
Check #
Driver's License #
State