Player Information
Player NameDexter Schaardt
Player's Date of Birth04/08/2020
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 NameJessica Schaardt
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4028625349
2nd Parent / Guardian NameWesley Schaardt
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone4028526133
Billing Address5950 Bridle Lane
Lincoln, Ne
Lincoln, Nebraska 68516
United States
Map It
Total$250.00
Payment MethodPayPal Checkout