CHICAGO MISSION

The Premier Tier I AAA Youth Hockey Club

CHICAGO MISSION

The Premier Tier I AAA Youth Hockey Club

REGISTRATION FORMS

Registration Fall 2026-27 F03 (Payment)

Registration Fall 2026-27 (Payment)

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Step 1 of 2

Player

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USAH

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Mission Team

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Player*

First Last

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Player Fee

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Apparel Fee

Parent or Guardian*

Parent Phone*

Parent Email*

Payment Information

Your Player Fee*

**Payment Start 6/15**

Total Apparel Fee*

**DUE TODAY**

You have two payment options:

ONE(1) Payment in full. (This will be automatically charged on June 15th)
Payment Plan: Payments will be payable in 9 equal installments. First payment is due June 15th.
The remaining payments will be deducted July through February.
Those due dates are 6/15, 7/15, 8/15, 9/15, 10/15, 11/15, 12/15, 1/15, 2/15.
There is a $25 fee for returned payments.

NOTE: The entire Apparel Fee is due TODAY.

Payment Option*

Single Payment (1)

Payment Plan (9)

Other (contact Ann)

If you require additional payment options, contact Ann IMMEDIATLEY at 630-442-7234 or [email protected]

NOTE: You will not be able to complete your registration process until payment terms are established.

Coaches PIN

Payment Type*

Credit Card

Bank ACH

A processing fee of 4% will be charged for all Credit Card transactions.

Bank ACH Payment (DUE TODAY)

Equipment Fee ONLY

Price: $0.00

Bank ACH Single Payment (Auto Draw on 6/15)

Price: $0.00

Bank ACH Payment Plan (9 Equal Recurring Payments)

Automatic Draw on 6/15, 7/15, 8/15, 9/15, 10/15, 11/15, 12/15, 1/15, 2/15.

Price: $0.00

NOTE: A 4% processing fee will be added for all Credit Card Transactions.

Credit Card Payment (DUE TODAY)

Equipment Fee ONLY.

Price: $0.00

Credit Card Single Payment (Charged on 6/15)

Price: $0.00

Credit Card Payment Plan (9 Equal Recurring Payments)

Automatic Draw on 6/15, 7/15, 8/15, 9/15, 10/15, 11/15, 12/15, 1/15, 2/15.

Price: $0.00

Payment(s) By Bank ACH

Electronic Check Information (ACH)

All payments defined above will be done via Bank ACH with the bank information provided here.

If you cannot provide banking information, you must selected "Pay by Credit Card" option to guarentee payment throughout the season.

NSF or insufficient funds transactions will result in a $25 fee.
All Banking information will be kept confidential.

ACH*

Account Number Account Type Routing Number Account Holder Name

Credit Card Processing

All payments defined above will be done with your Credit Card information provided here.

A processing fee of 4% will be charged for all Credit Card transactions.

Any declined transactions will result in a $25 fee.
All Credit Card information will be kept confidential.
Please do NOT use Virtual Card Numbers!

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Authorization*

I herby authorize the Chicago Mission Hockey Club to charge my Credit Card or Bank Account on the dates defined above.

Signature*

Authorization Name*

Date*

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9 Recurring Payments

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1 Recurring Payments

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Default State

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