PAXTON PARK DISTRICT

Sign Up Form YOUTH BASKETBALL REGISTRATION DUE 11-21-08                               

Programs

Sign up for:

Time

Price each

TBA

$35

TBA

$35

TBA

$35

$40

Subtotal:

Total:

Parents Name:

Address:

Phone:

E-mail:

Method of Payment: 

Childs Name:

Please make checks payable to the Paxton Park District.

Paxton Park District                                                                                              601 S. Fall                                                                                                    Paxton, Illinois  60957 

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