EXCEED PERFORMANCE Payment

EXCEED PERFORMANCE

Online Purchase - Day Pass

-LIABILITY RELEASE WAIVER MUST BE SIGNED FOR ENTRY- Please schedule your visit prior to purchasing! All visits will receive a temporary access code if needed once payment is received! Liability Release Waiver - First Timers only! https://form.jotform.com/232826508223050 Contact us via text 657-667-6202

Day Pass

x$22.00

Phone

First Name

Last Name

Card Details

Cardholder Name

Credit Card Number

Expiration Date

CVV

Billing Address

Address

City

State or Territory

ZIP Code

Subtotal

$22.00

NCC

$0.88

Total

$22.88