Player Information
Player NameChristopher Marr
Player's Date of Birth09/06/2019
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 NameCandace Marr
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4022191187
2nd Parent / Guardian NameAnthony Marr
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone4026178729
Billing Address1122 N 101st Street
lincoln, NE 68527
United States
Map It
Total$250.00
Payment MethodPayPal Checkout