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Winter Basketball Skills Clinic Registration Form

9am to 12pm - Instructed by Paye's Coaches($120)
1pm to 4pm - Instructed by Paye's Coaches($120)
All-Day - $225
Drop Fee - $40 per half day or $80 per full day
December 21st, 22nd, 23rd - three day clinic
Ages 6 to 13 (Boys and Girls)

*Download Payes Place Waiver - Release Form - Fill it out and bring in to Office before clinic starts.
Choose your Clinic or Clinics.
   Morning Clinic (9am to 12pm)    Afternoon Clinic (1pm to 4pm)    All Day

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
Street
City
State
Zip

Checks are payable to Paye's Place, No Refund Policy.

Thank You,

Paye's Place

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