5. 34TH ANNUAL BRIGHTSIDE TOURNAMENT - JULY 13TH & 14TH
DEADLINE FOR ENTRY IS FRIDAY, JUNE 21ST
  * Required Fields
CAPTAIN'S NAME: *
YOUR NAME(if not Capt):
TEAM NAME: *
ADDRESS: *
CITY: *
STATE: *
ZIPCODE: *
WORK PHONE:
HOME PHONE:
EMAIL: *
TSHIRT SIZES: XL  XXL 
   
SELECT A DIVISION:
DIVISION NAME: Men's B/C+ Sixes - Seneca Park
DIVISION CODE: 102
DAY: Saturday, July 13th
   
PLAYERS IN ROSTER: 0 x $40.00 = $80
XXL TSHIRTS: 0 x $5 = $0
TOTAL: $80
   
PAYMENT TYPE: Credit Card 
PAYMENT INFO:
Name On Card:
Credit Card Number:
Credit Card Type:
Expiration Date:
CVV Code:


Captcha: Select 1st, 3rd, 4th, 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 Tandem Sport. If you have any questions, feel free to contact us at 502-582-3530.