Player Information
Player NameMeyer Goodrich
Player's Date of Birth06/25/2018
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 8 - Goodrich
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 NameNathaniel Goodrich
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone402-525-4900
2nd Parent / Guardian NameSamantha Goodrich
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone402-416-9611
Billing Address7390 Gerald Avenue
LINCOLN, NE 68516
United States
Map It
Total$250.00
Payment MethodPayPal Checkout