Player Information
Player NameEaston Bailey
Player's Date of Birth06/27/2019
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?Yes
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 NameJaron Bailey
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4022024203
2nd Parent / Guardian NameMindy Bailey
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone4024191845
Billing Address8201 Jones Ave
Lincoln, NE 68516
United States
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Total$250.00
Payment MethodPayPal Checkout