Jax Parent Registration

http://jaxmagic.org

$200 Registration Fee for each player for the Jacksonville Magic Inc Youth Basketball Program. Additional Travel Fee for each out-of-town required 5 business days before tournament date. Please include child name in comments

Contribution Amount

$200 - Player Registration Fee
$16 - AAU Coaches Fees
$

Personal Information

First NameRequired
Last NameRequired
EmailRequired
Home AddressRequired
Home Address (line 2)
CityRequired
StateRequired
Zip/PostalRequired
Phone NumberRequired

Payment Information

Debit/Credit Card

Billing Information

Same as home address.
Billing Address
Billing Address (line 2)
City
State
Zip/Postal

Legal Compliance

I affirm that the following statements are true and accurate:

I want to publish my name to the Jax Parent Registration giving stream! (Note: your contribution amount will not be shown)

Your donation will appear on your credit card or bank statement as "RALLY/PIRYX"

Amount:

By clicking submit you agree to our refund policy in our terms of service.

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