7. YOUTH BEACH BASH TOURNAMENT - JULY 10TH & 11TH
DEADLINE FOR ENTRY IS WEDNESDAY, JULY 7TH
*
Required Fields
CAPTAIN'S NAME:
*
YOUR NAME(if not Capt):
TEAM NAME:
*
ADDRESS:
*
CITY:
*
STATE:
*
ZIPCODE:
*
WORK PHONE:
HOME PHONE:
EMAIL:
*
# Of Players:
0
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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:
Sunday, July 11th
Player Entry Fee:
0 x 20.00 = $0.00
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
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
CVV Code:
Captcha:
Please select 1st, 3rd and 4th checkbox in a first attempt, if you select wrong checkbox then try again after refreshing a page.
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.
