Player Information
Player NameYaretzi Terrazas
Player's Date of Birth05/02/2019
Do you have another player to register?Yes
2nd Player's NameJoaquin Terrazas
2nd Player's Date of Birth09/30/2020
Do you have a player/coach that you would like to be on the same team with?Yes
Please enter the players/coaches namesTeam 6 - Swanson
Player RegistrationPlayer Registration, Qty: 2, 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 NameKathy Terrazas
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone402-613-5457
2nd Parent / Guardian NameAlan Terrazas
2nd Parent / Guardian Cell Phone402-610-4463
Billing Address2210 SW Paul Whitehead Ln
Lincoln, NE 68522
United States
Map It
Total$500.00