Player Information
Player NameKalani McClain
Player's Date of Birth05/20/2020
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 6 - Swanson
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 NameLindsey McClain
Parent / Guardian EmailEmail hidden; Javascript is required.
Parent / Guardian Cell Phone4022690251
2nd Parent / Guardian NameJohn McClain
2nd Parent / Guardian EmailEmail hidden; Javascript is required.
2nd Parent / Guardian Cell Phone402-879-5984
Billing Address340 North Street
Avoca, NE 68307
United States
Map It
Total$250.00
Payment MethodPayPal Checkout