Player Information
Player NameJoseph Campana
Player's Date of Birth06/09/2018
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 7 - Wright
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 NameJenifer Campana
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4024699341
2nd Parent / Guardian NameCarlo Campana
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone402-770-3592
Billing Address4024 N 17th St
Lincoln, NE 68521
United States
Map It
Total$250.00
Payment MethodPayPal Checkout