7. BAXTER JACK'S YOUTH BEACH PARTY - AUGUST 2ND
DEADLINE FOR ENTRY IS THURSDAY, JULY 31ST
*
Required Fields
CAPTAIN'S NAME:
*
YOUR NAME(if not Capt):
TEAM NAME:
*
ADDRESS:
*
CITY:
*
STATE:
*
ZIPCODE:
*
WORK PHONE:
HOME PHONE:
EMAIL:
*
SELECT A DIVISION:
DOUBLES - 18U Doubles
DOUBLES - 16U Doubles
DOUBLES - 14U Doubles
DOUBLES - 12U Doubles
QUADS - 18U Quads
QUADS - 16U Quads
QUADS - 14U Quads
QUADS - 12U Quads
DIVISION NAME:
18U Doubles
DIVISION CODE:
DOUBLES
DAY:
Saturday, August 3rd
OPTIONS:
18U Doubles
($40.00)
16U Doubles
($40.00)
14U Doubles
($40.00)
12U Doubles
($40.00)
18U Quads
($80.00)
16U Quads
($80.00)
14U Quads
($80.00)
12U Quads
($80.00)
TOTAL:
$80.00
PAYMENT TYPE:
Credit Card
PAYMENT INFO:
Name On Card:
Credit Card Number:
Credit Card Type:
MASTERCARD
VISA
AMERICAN EXPRESS
DISCOVER
Expiration Date:
January
February
March
April
May
June
July
August
September
October
November
December
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
CVV Code:
Captcha:
Select 1st, 2nd, 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 Baxter Jack's. If you have any questions, feel free to contact us at 502-582-3530.
