Skip to content
Adult Clinic SUG
Buy Tokens
View Token DB
Payment
Custom
Bullis-Home
Juniors
Jr Progam SCHEDULE
Jr Program DESCRIPTIONS
Jr Program REGISTRATION
Adults
Why PA
Our Successes
Our Coaches & Staff
Our Testimonials
Coaching Philosophy
Environment & Training
Contact
Other Sites
Pass Academy PSTC
Pass Academy GFST
Pass Academy (All Locations)
The Best Clinic (Adults)
Resources & Links
Latest Buzz
Adult Clinic & Lesson Payment
admin
2022-01-08T11:38:18-05:00
Adult Clinic & Lesson Payment
Adult Clinics
On-line PAYMENT for the Pass Academy Adult Clinics or Lessons at the Bullis School
Use this form if you were requested by the Pass Academy Staff to make a payment.
Adult Clinic & Lesson Payment Form
Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Email Address
*
Enter Email
Confirm Email
Phone
*
Social Event
Social Event
Price:
$30.00
Quantity:
Enter number of players. $30 per player.
Private Lesson
Private Lesson Dollar Amount
Price:
$1.00
Quantity:
Enter DOLLAR AMOUNT as instructed by Pass Academy staff.
Pro's Name
JB, Kwame, Lee, Mike
Gratuity
Gratuity Dollar Amount
Price:
$1.00
Quantity:
Enter optional dollar amount for a pro.
Pro's Name
JB, Kwame, Lee, Mike
Custom Amount
Custom Dollar Amount
Price:
$1.00
Quantity:
Enter dollar amount as instructed by Pass Academy staff for a custom purchase.
Total Fees
$0.00
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
Expiration Date
Security Code
Cardholder Name
Additional Information (optional)
Page load link
Go to Top