Paye's Place Summer Skills Speed & Agility Training Clinic Registration Form

August 2nd, 3rd, 4th, 5th, 6th, 2010

Taught by Paye's Sports Performance Trainers

Morning Session I (9am to 10:30am)
Afternoon Session II (1pm to 2:30pm)
Cost: $145 per session
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.
   Session I - 9am - 10:30am ($145)
   Session II - 1pm - 2:30pm ($145)
Information about you
DOB
Athlete's Name
Parent Name
Address
City
St
Zip

How do we Communicate with you?
Home Phone:
Email:
CellPhone:

Pay By:    Check    Credit Card    *Payments

Credit Card Information
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Name
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I understand that I have signed up for Paye's Place Summer Skills Speed & Agility Training Clinic. I am committed to attending the clinic. No Refund Policy.

Checks are payable to Paye's Place

Thank You,

595 Industrial Rd. San Carlos, CA 94070 - (650)654-4444 Fax (650)508-8710