Paye's Place - Basketball & Volleyball Facility

Paye's Place Summer Skills Football Clinic Registration Form

June 28th, 29th, 30th, 31st, July1st, 2010

Afternoon Session II (1pm - 4pm)
Cost: $175
Ages: 6 to 15

*drop in rates, must be paid at the door (by check or cash) $50 per session/per day

*Download Payes Place Waiver - Release Form - Fill it out and bring in to Office before clinic starts.

Information about you

DOB

Athlete's Name

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
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Name
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City
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I understand that I have signed up for Paye's Place Summer Skills Football Clinic. I am committed to attending the camp. No Refund Policy.

Checks are payable to Paye's Place

Thank You,