Manual Pay - Midwest Select Sports

Notice Use this form for one-time payments only, if you are registering for a team please see the team registration page.

Make one-time Athlete Payments here.

Sport(Required)

Team Name(Required)

Level(Required)

Athlete Name(Required)

First Last

Billing Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Receipt will be sent here

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Payment Amount(Required)

Product Name(Required)

Price: $0.00

Total

Credit Card(Required)

Card Details

Cardholder Name