Credit Card Authorization Form

Applicable to: Performance X Senior UofA JAG Fountain Park JAG UofA OW Scona/UofA OW2 High Performance Fountain Park OW1 Gold Silver Fountain Park OW2 Performance UofA JOW Age Group Performance Bronze Scona/UofA JOW2 Fountain Park JOW Fountain Park/GMac JOW2 UofA JD (Non-Competitive) Fountain Park JD (Non-Competitive)

I authorize the Olympian Swim Club (OSC) to charge all fees, expenses, purchases, and fines associated with my Member(s) account to my credit card unless payment is made by cash, cheque, or OSC Member Account Credit before the payment deadline as outlined in the OSC Financial Policy.