John Doe

Soccer Registration

Registration Reference No:

0d9aba44-891b-4b79-93de-de12f68af9d8

Contact No:

(705) 994-2146

Email:

Address:

588 tenth st

,

Collingwood

L9Y4C1

Date of Birth:

80-06-27

Gender:

Male

Program:

Coed Rec League, Winter 2022-23

Skill Level:

4

Goalkeeper Status:

Goalkeeper

Total Payment Due:

$

$155.00

Emergency Contact

Name:

Melissa Nyhof

Relationship:

Spouse

Contact no:

Melissa Nyhof