Player Information
Player NameWinston Eubanks
Player's Date of Birth11/23/2019
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 4 - Watson
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 NameCoty Eubanks
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4023639056
2nd Parent / Guardian NameAlyssa Radke
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone4029088568
Billing Address5110 Walker Ave
Lincoln, NE 68504
United States
Map It
Total$250.00
Payment MethodPayPal Checkout