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Private 1-on-1 Basketball Training (Registration Form)


Choose your training.
Session    1 session ($75)    5 pack ($300)    10 pack ($500)

Information about the player.
DOB
Player 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
 




I understand that I have signed up for the Private 1-on-1 Basketball Training. I have committed to the progam. If I decide not to do the program. "No Refund Policy"

Checks are payable to Paye's Place

Thank You,




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