Basketball Summer Program

Required

STUDENT NAME:required

First Name

Last Name

PARENT/GUARDIAN EMAIL ADDRESS: required

PAYMENTS: required

subtotal: $180.00, $185.00 or $92.50 + 2.5% Convenience Fee

PLEASE DO NOT SELECT THE "PARTIAL PAYMENT" OR "REMAINING BALANCE" OPTION UNLESS AUTHORIZED TO DO SO. THIS IS ONLY FOR SELECT STUDENTS.

CONFIRMATION:required

I have received authorization to select the "partial payment" or "remaining balance" option.

I agree to the Terms of Service. NO REFUNDS, TRANSFERS OR CREDITS WILL BE ISSUED.

Please select a payment typerequired

Credit Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year