Player Information
Player NameFynn Doerneman
Player's Date of Birth04/26/2019
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 10 - Evans
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 NameDanielle Doerneman
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4029102591
2nd Parent / Guardian NameFranklin Doerneman
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone4023800076
Billing Address6001 Hartley St
Lincoln, NE 68507
United States
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Total$250.00
Payment MethodPayPal Checkout