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Paye's Place Summer Skills Basketball Clinic Registration Form

June 28th, 29th, 30th, 31st, July1st, 2010

This is a Paye’s Basketball Skills Clinic. The purpose of this clinic is to teach and train good fundamentals of basketball. The focus will be on ball handling, shooting, footwork and defense. Please note this is not a Legarza Basketball Camp.

Morning Session I (9am - 12pm)
Afternoon Session II (1pm - 4pm)

*drop in rates, must be paid at the door (by check or cash) $50 per session/per day

*Download Payes Place Waiver - Release Form - Fill it out and bring in to Office before clinic starts.
Choose your Clinic session or sessions.
   Session I - 9am - 12pm ($175)
   Session II - 1pm - 4pm ($175)
   All Day - Both Sessions ($325)

Information about you
DOB
Athlete's Name
ParentName
Address
City
St
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
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City
State
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I understand that I have signed up for Paye's Place Summer Skills Basketball Clinic. I am committed to attending the camp. No Refund Policy.

Checks are payable to Paye's Place

Thank You,

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