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Football Clinic @ Paye's Place Registration Form

March 29th, 30th, 31st, April 1st, 2nd, 2010
9am to 12pm
$300 for five days
$80/per day - drop in rate
Ages 9 to 17

Clinic for Quarterbacks, Running Backs, and Recievers

*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
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

Home Page General Information Payes AAU Dev League Camps/Clinics Tournaments Photo Gallery Volleyball