Player Information
Player NameGreyson Gress
Player's Date of Birth04/05/2018
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 5 - Buresh
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 NameKaitlin Gress
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4025705472
2nd Parent / Guardian NameClark Gress
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone3089400694
Billing Address2230 Lynnridge Circle
Lincoln, NE 68521
United States
Map It
Total$250.00
Payment MethodPayPal Checkout