Player Information
Player NameMack Johnston
Player's Date of Birth07/29/2020
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 9 - Johnston
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 NameDan Johnston
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4026504373
2nd Parent / Guardian NameKylee Johnston
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone3085308603
Billing Address1612 Barrington Pkwy
Papillion, NE 68046
United States
Map It
Total$250.00
Payment MethodPayPal Checkout