Gym / Ball Field Use Payment
Please fill out the requested information and click submit.
Please complete the following form to submit your payment fee for use of the LUMC Gym or Ball Field.
Usage is at $10/hour of use for teams, $125 for gatherings (birthday party, bridal shower, baby shower, etc...). Please fill in the dates that the payment is for so that records can be accurately maintained.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Group/Team/Event Paying for:
*
Dates Being paid for:
*
Payment ($10/hour, $125)
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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Description
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