SFJDP_SFJDA_2024+Application_Packet_04012024.pdf

REGISTRATION

Registration Options

Tuition ($1,525.00)

Junior Deputy/Junior Cadet's Name

Gender

Male
Female

Date of Birth

Age

Grade

School Name

Parent/Guardian's Name-1

Parent/Guardian Cell Phone Number-1

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Home Phone Number-1

Parent's Email-1

Home Address-1

Emergency Contact Name

Emergency Contact Cell Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Parent/Guardian's Name-2

Parent/Guardian Cell Phone Number-2

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Home Phone Number-2

Parent's Email-2

Home Address-2

Running Total

$1,525.00

Processing fee

$45.75

Coupon Code

Total

$1,570.75

Application Terms

CREDIT CARD/DEBIT CARD AUTHORIZATION: I hereby authorize the San Francisco Junior Deputy Program to charge my credit or debit card according to the payment plan identified above for the purpose of paying for all expenses that shall not be limited to tuition fees, application fees, convenience fees, uniforms, equipment, and supplies. I agree that my credit card will automatically be billed on or by the payment due dates. I have read the aforementioned and understand and fully agree that all/any charges are non-refundable, and this authorization will remain in full force until the total amount of my financial obligation is fulfilled. I agree that in the event that any charges are denied by the credit card/debit institution identified above for any reason, I will be notified and obligated to pay by other means within three days of such notice. I understand that I will be financially responsible for the payment of late fees and/or penalty fees should the institution assess such charges to San Francisco Junior Deputy Program.

I have read and agree to the terms above.

Please pick a size for each item. Custom fitting and final sizing of uniforms at Orientation Meeting.

T-Shirt Size

Polo Size

Athletic/ Gym Pants Size

Pant Size

Belt Size

Hat Size

Your current total for 1 registrant is $1,630.89 (Show Summary)

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Mobile Phone Number

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