John Doe

Soccer Registration

Registration Reference No:

6f9afb2e-b2cd-43df-8e63-2b25c109fa0f

Contact No:

(705) 606-6912

Email:

Address:

402A 417 Peel St

,

Collingwood

L9Y 5M8

Date of Birth:

94-01-11

Gender:

Male

Program:

Coed Rec League, Winter 2022-23

Skill Level:

5

Goalkeeper Status:

Defender

Total Payment Due:

$

$155.00

Emergency Contact

Name:

lisa

Relationship:

partner

Contact no:

lisa