4. BAXTER JACK'S JUNIORS CLASSIC - JUNE 17th & 18th 2017
THANK YOU FOR YOUR ENTRY!!
  * 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: Quads
DIVISION CODE: 12U Boys
DAY: Saturday, June 17th, 2017
   
Team Entry Fee: $50.00
TOTAL: $50.00
   
PAYMENT TYPE: Credit Card 
PAYMENT INFO:
Name On Card:
Credit Card Number:
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Expiration Date:
CVV Code: