Adult Program Payment

On-line Payment for Pass Academy Lessons and Adult Programs at Potomac Swim & Tennis Club

Adult Clinic & Lesson Payment Form
Name*
First Last
Address*
Street Address City State ZIP Code
Email Address*
Enter Email Confirm Email
Phone*
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Level Up Tennis Clinic
Level Up Clinic NON-MEMBER Quantity
Price: $45.00
Enter the number of clinic you are paying for ($45 per clinic)
Level Up Clinic MEMBER Quantity
Price: $40.00
Enter the number of clinic you are paying for ($40 per clinic)
Social Event
Social Event NON-MEMBER Quantity
Price: $30.00
Enter the number of non-member players you are paying for ($30)
Social Event MEMBER Quantity
Price: $25.00
Enter the number of member players you are paying for ($25)
Private Lesson
Lesson Dollar Amount Quantity
Price: $1.00
Enter DOLLAR AMOUNT as instructed by Pass Academy staff.
Lesson Pro's Name
Other Lesson Pro's Name
Gratuity
Gratuity Dollar Amount Quantity
Price: $1.00
Enter optional dollar amount for a pro.
Gratuity Pro's Name
Other Gratuity Pro's Name
Custom Amount
Custom Dollar Amount Quantity
Price: $1.00
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 Expiration Date Security Code Cardholder Name
Additional Information (optional)