Paye's Place - Basketball & Volleyball Facility

Paye's Place Summer Basketball Camp Registration Form

August 24th, 25th, 26th, 27th & 28th, 2009

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

Choose your Camp session or sessions.

Session I - 9am - 12pm ($175)

Session II - 1pm - 4pm ($175)

All Day - Both Sessions ($325)

Information about you

DOB

CamperName

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 Paye's Place Summer Basketball Camp. I am committed to attending the camp. If you need to cancel for some reason, please contact us 5 days before the camp begins.

Checks are payable to Paye's Place

Thank You,