Paye's Place - Basketball & Volleyball Facility

Bitty Ball Basketball Class (Registration Form)

Session # 1 Dates: 4/2, 4/9, 4/16, 4/23, 4/30
Session # 2 Dates: 5/7, 5/14, 5/21, 5/28, 6/4
Session # 3 Dates: 6/11, 6/18, 6/25, 7/9, 7/16
Session # 4 Dates: 7/23, 7/30, 8/6, 8//14, 8/21
Cost: $99

Choose your session. (1 or all)

Session

Information about the player.

DOB

Player Name

ParentName

Address

City

Zip

How do we Communicate with you?

Home Phone:

Email:

CellPhone:

Pay By:

Check

Credit Card

*Payments

Credit Card Information
*Fill this section out below if you clicked to pay by credit card, otherwise just click I accept.

Credit Card Type
Credit Card Number
Expires
Card Security Code
Name
Street
City
State
Zip

I understand that I have signed up for Bitty Ball Class. I have committed to the progam. If I decide not to do the program. I must call and cancel 5 days before the first date to get a refund.

Checks are payable to Paye's Place

Thank You,