TUITION PAYMENT

CT Northstars Travel Tuition Form

	Northstar Travel Season
Program DIRECTORS	Ray DaCosta / Katie DaCosta P.O Box 340229 Hartford, CT. 06134-0229 (Office) 860-523-4888   (Fax) 860-432-3656

Please fill out the information below and click Submit Payment.
An asterisk (*) denotes a required field.

 

Athlete Name:*
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Age:	Grade 5th 6th 7th 8th 9th 10th 11th
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Expiration Date:*	01 02 03 04 05 06 07 08 09 10 11 12 2012 2013 2014 2015 2016 2017 2018