John Doe

Soccer Registration

Registration Reference No:

cd269681-61bd-4c7a-8bb1-e66504db4ba3

Contact No:

(705) 606-6912

Email:

Address:

154 Margaret St

,

Meaford

N4L1C1

Date of Birth:

94-01-11

Gender:

Male

Program:

Coed Comp Spring/Summer 2022

Skill Level:

5

Goalkeeper Status:

Midfielder

Total Payment Due:

$

$135.00

Emergency Contact

Name:

Lisa Thorpe

Relationship:

Nonce

Contact no:

Lisa Thorpe