John Doe

Soccer Registration

Registration Reference No:

cea3befe-e848-4c48-a91a-f0b249b64c88

Contact No:

(705) 446-5468

Email:

Address:

427 Ontario St

,

Collingwood

L9Y 4B9

Date of Birth:

62-01-26

Gender:

Male

Program:

Coed Rec Pick-up, Winter 2022-23

Skill Level:

3

Goalkeeper Status:

Midfielder

Total Payment Due:

$

$140.00

Emergency Contact

Name:

MAXINE HOLMES

Relationship:

Spouse

Contact no:

MAXINE HOLMES