Secure Order Form


 Accepted

 CUSTOMER BILLING INFORMATION

First Name:  
Last Name:  
Address 1:  
Address 2:  

City, State:

                                       
Zip code:  

Phone:

(333-444-5555)

 
Emergency Phone:  
Fax:  
Email Address:  

 STUDENT ATHLETE INFORMATION

Please Fill this Section out with the Information about the student who will be attending the

clinic at Play Like A Pro.  For Dodge Ball Sign-ups, please give us the names of the players on your team under (Misc. Information)

First Name:  
Last Name:  
Age:  
Birthday:          
Grade in school:  
Email:  
Sport(s) Played:  
     
Misc. Information:  
     

 WHICH CLINIC ARE YOU INTERESTED IN PURCHASING?

 This is the amount your credit card will be charged. (Including Tax)

LITTLE SLUGGERS PROGRAMS

 


CAMPS & CLINICS

 


SPORTS BASH SUMMER CAMPS

 

Enter Desired Week(s) (enter week start date):  

OPTIONAL LUNCH PROGRAM (FOR SPORTS BASH SUMMER CAMP ONLY)

 

     
Enter Discount Code:  

For Single Day Camps,

Please specify which day you will be attending:

 
 

CUSTOMER PAYMENT INFORMATION. 

**Please Note, The Credit Card you provide must match the billing address stated above.  For any questions, please contact us anytime.

Credit Card Type:  
Credit Card #:   (Enter without spaces)
Name on the Card:  
Expiration Date:                                                                               
3/4 Digit Security Code:  
     
How did you hear about us?  

 

For Sports Bash Summer Camps: Please download the following medical form and fill out with your doctor.

This Secure Order Form will be sent directly to a sales representative to be processed right away. 

If  there is any problems, you will be contacted shortly.  Play Like a Pro Baseball does not

disclose your information to third parties.

 

No refunds, only facility credit.