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Dribble Drive Penetration Class(Registration Form)

Dates: 8/30, 9/5, 9/12, 9/26, 10/3, 10/10, 10/17, 10/24, 10/31
Cost: $399 for non-club members ($299 for Paye's club members)

Information about the player.
DOB
Player Name
ParentName
Address
City
St
Zip

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Home Phone:
Email:
CellPhone:

Pay By:    Check    Credit Card    *Payments

Credit Card Information
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Credit Card Type
Credit Card Number
Expires
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Name
Street
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State
Zip
 




I understand that I have signed up for Dribble Drive Penetration 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,




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