John Doe
Soccer Registration
Registration Reference No:
e2d076ab-5683-49d9-bd37-6b900bd674cd
Contact No:
(705) 994-2146
Email:
Address:
588 tenth st
,
Collingwood
L9Y4C1
Date of Birth:
80-06-27
Gender:
Male
Program:
Coed Rec Spring/Summer 2022 , Coed Comp Spring/Summer 2022
Skill Level:
4
Goalkeeper Status:
Goalkeeper
Total Payment Due:
$
$135.00
Emergency Contact
Name:
Melissa Nyhof
Relationship:
Fiancé
Contact no:
Melissa Nyhof