Player Information
Player NameArlo Cottingham
Player's Date of Birth11/16/2018
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 2 - Anderson
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 NameJess Cottingham
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4027306810
2nd Parent / Guardian NameNolan Cottingham
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone4027303247
Billing Address9300 Wildfire Rd
Lincoln, NE 68512
United States
Map It
Total$250.00
Payment MethodPayPal Checkout