Blue Chip Selects
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Blue Chip College Showcase - Register and Pay by Credit Card

To register and pay by credit card, please fill out the form below.

Blue Chip College Showcase - Pay by Credit Card

SELECT A DIVISION *
Select 1 or more divisions


SELECT A LEVEL *

TEAM *
CONTACT *
PHONE NUMBER *
EMAIL *
DEPOSIT METHOD *
 
Billing Address
Billing Address *
Billing City *
Billing State/Zip *
Payment
Amount *
Payment Method *
   
Name on Card *
Card Number *
Expiration Date *
WAIVER
I certify that the above named applicant is fully covered by a certified health insurance plan or USA Hockey and Blue Chip Hockey LLC. and its Staff are not responsible or liable for any injury suffered by the applicant during participation at Blue Chip Select events. Blue Chip Select LLC. reserves the right to accept only the players or teams they conclude meet the standards established by the coaching personnel.

NO REFUNDS
I AGREE TO THE ABOVE WAIVER *