5. BAXTER JACK'S LOUISVILLE YOUTH BEACH BASH - JUNE 24TH & 25TH
DEADLINE FOR ENTRY IS THURSDAY, JUNE 22ND
  * Required Fields
CAPTAIN'S NAME: *
YOUR NAME(if not Capt):
TEAM NAME: *
ADDRESS: *
CITY: *
STATE: *
ZIPCODE: *
WORK PHONE:
HOME PHONE:
EMAIL: *
   
SELECT A DIVISION:
DIVISION NAME: 12U Doubles
DIVISION CODE: DOUBLES
DAY: Sunday, June 25th
   
OPTIONS: 12U Doubles ($40.00)
14U Doubles ($40.00)
18U Doubles ($40.00)
16U Doubles ($40.00)
12U Quads ($80.00)
14U Quads ($80.00)
18U Quads ($80.00)
16U Quads ($80.00)
TOTAL: $80.00
   
PAYMENT TYPE: Credit Card 
PAYMENT INFO:
Name On Card:
Credit Card Number:
Credit Card Type:
Expiration Date:
CVV Code:


Captcha: Select 2nd, 4th, 5th, Checkbox.
Thank you for your tournament entry and payment. We will be processing your credit card in the next several days. Your credit card receipt will read Baxter Jack's. If you have any questions, feel free to contact us at 502-582-3530.