John Doe

Soccer Registration

Registration Reference No:

9469f975-0d0a-4dce-9b9f-ba89ccde627c

Contact No:

(705) 606-8022

Email:

Address:

36 Nettleton Court

,

Collingwood

L9Y5C1

Date of Birth:

91-10-09

Gender:

Female

Program:

Coed Comp Spring/Summer 2022 , Coed Rec Spring/Summer 2022

Skill Level:

3

Goalkeeper Status:

Midfielder

Total Payment Due:

$

$0

Emergency Contact

Name:

Richard Wong

Relationship:

Father

Contact no:

Richard Wong