YSA NATIONALS PAYMENT INFORMATION

NAME ON CARD
ADDRESS
BILLING ZIP
CARD TYPE



CARD NUMBER
EXPIRATION DATE
In enrolling at YSA .participants understands that he/she attending the programs and useing YSA and the facilities dose so at his/her own risk. YSA and its owners,employees or agents,shall not be liable for any damage whatsoever. Ido herby authorize YSA and its assigns to utilize any and all photographs ,pictures or other likeness of me or anyone assigned guardianship to me,as they deem appropriate in its promotional materials or team film
Authorized Charge Amount