Player Information
Player NameAtticus Meston
Player's Date of Birth10/01/2018
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 NameRyan Meston
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone402-690-3019
2nd Parent / Guardian NameKeshia Cousins
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone402-646-5103
Billing Address14731 Eastbourne Cir
Waverly, NE 68462
United States
Map It
Total$250.00
Payment MethodPayPal Checkout