Player Information
Player NameEaston Aldridge
Player's Date of Birth09/01/2017
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 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 NameCraig Aldridge
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4028901513
2nd Parent / Guardian NameKristi Aldridge
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone4024166446
Billing Address9921 Paris Court
Denton, Nebraska 68339
United States
Map It
Total$250.00
Payment MethodPayPal Checkout