Player Information
Player NameEli Israel
Player's Date of Birth06/13/2019
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 7 - Wright
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 NameAmy Israel
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4025252516
2nd Parent / Guardian NameMichael Israel
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone5313338293
Billing Address3084 Sheridan Blvd
Lincoln, NE 68502
United States
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Total$250.00