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ACCEPTANCE PACKET

Once you have received an invitation to play on a Midsouth Bartlett team, you will need to complete the forms in this packet. The following forms/fees will need to be turned in to Midsouth Bartlett Director, Sierra Kiser:

You can mail the forms to:
MidSouth Bartlett
c/o Sierra Kiser
72 Dry Field Cove
Byhalia, MS 38611

All fees are to be paid through Venmo to @BartlettSoccer

Team

Birth Year of the Team

Division

TSSA Division Level 2018-2013 - Jr 2012 - 2011 - ask coach

Players Birthday
Month
Day
Year
Players Birthday
Month
Day
Year
Multi-line address
Payment Option
Pay in Full
Payment Plan

The exact amount MUST be paid to Bartlett Soccer Club. If you choose to “protect” your payment (move the slider), Venmo will divert part of your payment leaving you with a balance owed to BYSA.

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