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Easter Break Basketball Camp Registration Form

April 2nd - 6th,, 2007

Morning Session I (8am - 12pm)
Afternoon Session II (1pm - 5pm)

*drop in rates, must be paid at the door (by check or cash)
Choose your Camp or Camps.
April 2nd - 6th, 2007  
   Session I 8am - noon ($175)
   Session II 1pm - 5pm ($175)
   All Day - Both Sessions ($325)

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 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,




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