Player Information
Player NameHayden Novotny
Player's Date of Birth09/27/2018
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 1 - Legree
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 NameAmber Novotny
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4026172918
2nd Parent / Guardian NameAustin Novotny
2nd Parent / Guardian Cell Phone4024327120
Billing Address3244 morritt st.
Roca, NE 68430
United States
Map It
Total$250.00
Payment MethodPayPal Checkout