Player Information
Player NameHudson Pape
Player's Date of Birth02/25/2019
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 10 - Evans
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 NameLindsay Pape
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone402-580-0457
2nd Parent / Guardian NameBrian Pape
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone402-730-5144
Billing Address1310 N 96th Street
Lincoln, NE 68505
United States
Map It
Total$250.00
Payment MethodPayPal Checkout