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| Name: | Joe Player |
| Birthdate: | 12/1/2000 |
| Gender: | Male |
| Player Id: | JP1201000908 |
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| Edit | | Edit |
| Primary Guardian | Secondary Guardian |
| Name: | Will Player | Name: | Rose Player |
| Address: | 201 Genesse Ave | Address: | 201 Genesse Ave |
| City | San Diego | City | San Diego |
| State | CA | State | CA |
| Zip Code | 92121 | Zip Code | 92121 |
| Home Phone: | (858) 3039090 | Home Phone: | (858) 3039090 |
| Bus. Phone: | | Bus. Phone: | |
| Cell. Phone: | | Cell. Phone: | |
| E-mail: | will.player@test.com | E-mail: | |
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| Age Group: | TBD |
| No valid age group was found for this registration. Please report this to your administrator so that it can be resolved. |
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| Please check the box to the left of each policy after you have read and agree to it. |
Please check each box to signify that you understand and agree to abide by our policies.
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| Registration Fee | $200.00 | | Total | $200.00 |
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| This registration may be eligible for a family discount. Family discounts will be calculated upon checkout. |
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