Player Information
Player NameBarrett Bostwick
Player's Date of Birth08/15/2019
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 NameStacey Bostwick
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4023105273
2nd Parent / Guardian NameBryce Bostwick
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone4022025537
Billing Address6530 Kelsey Ln
Lincoln, Nebraska 68516
United States
Map It
Total$250.00
Payment MethodPayPal Checkout