John Doe

Soccer Registration

Registration Reference No:

87def41b-0954-4df7-83cf-49904a8ce7e8

Contact No:

(705) 888-3324

Email:

Address:

318 Simcoe street

,

Collingwood

L9Y1J9

Date of Birth:

95-04-29

Gender:

Male

Program:

Coed Rec League, Winter 2022-23

Skill Level:

4

Goalkeeper Status:

Forward

Total Payment Due:

$

$155.00

Emergency Contact

Name:

Michelle Commanda

Relationship:

Mother

Contact no:

Michelle Commanda