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Winter Development League (Registration Form)

November 3rd thru December 30th (2008)
Monday/Wednesday/Sunday Morning Games
Information about you
DOB
CamperName
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
 




I understand that I have signed up for a Evaluation at Paye's Place for Development Basketball League. If you need to cancel for some reason, please contact us 5 days before the season begins.

Checks are payable to Paye's Place

Thank You,




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