Player Information
Player NameDamon Lukas
Player's Date of Birth09/18/2018
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 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 NameDani Lukad
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4024302531
2nd Parent / Guardian NameCorey Lukas
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone4024303716
Billing Address10200 Yankee Hill Rd
Lincoln, Ne 68526
United States
Map It
Total$250.00
Payment MethodPayPal Checkout