Player Information
Player NameEverett Puhl
Player's Date of Birth05/14/2018
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?Yes
Please enter the players/coaches namesTeam 3 - Puhl
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 NameJim Puhl
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone913-972-2001
2nd Parent / Guardian NameBrynne Puhl
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone402-730-3680
Billing Address8840 Ranch Gate Road
Lincoln, Nebraska 68520
United States
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Total$250.00