Player Information
Player NameHunter Alcorn
Player's Date of Birth01/05/2019
Do you have another player to register?No
Do you have a player/coach that you would like to be on the same team with?No
Please enter the players/coaches namesTeam 8 - Goodrich
Player RegistrationPlayer Registration, Qty: 1, Price: $250.00
Waiver of Liability, Release, Assumption of Risk & Indemnity Agreement By submitting this I accept the terms of the aforementioned Waiver of Liability, Release, Assumption of Risk & Indemnity Agreement.
Parent-Guardian Information
Parent / Guardian NameErin Alcorn
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone402-689-8948
2nd Parent / Guardian NameMike Lade
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone402-432-8638
Billing Address9611 North 144th Street
Waverly, Nebraska 68462
United States
Map It
Total$250.00
Payment MethodPayPal Checkout