Paye's Place - Basketball & Volleyball Facility

PAYE'S PLACE Club Basketball Memeberhip Registration Form

$250 for the Club Membership.
Download and Fill out Club Memeberhip Waiver form
Please fill out the membership waiver form and fax it, mail it, or bring it into the office.

General Information

Shirt Size

Short Size

DOB

Player 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
Credit Card Number
Expires
Card Security Code
Name
Street
City
State
Zip

I understand that I have signed up for the Paye's Club Memebership. This will give me discounts on all the programs at Paye's Place.

Checks are payable to Paye's Place

Thank You,