Guardian Name | Changbao |
---|---|
Last | Li |
leecb72@yahoo.com | |
Additional Email | xubiou@yahoo.com |
Home Phone | 2072320403 |
Mobile Phone | 2072320403 |
Address | 5 Carriage Rd |
City | Falmouth |
State | ME |
Zip | 04105 |
Participant Name | John |
Last | Li |
leecb72@yahoo.com | |
Home Phone | 2072320403 |
Mobile Phone | 2072320403 |
Address | 5 Carriage Rd |
City | Falmouth |
State | ME |
Zip | 04105 |
Gender | Male |
Date of Birth | May 10, 2008 |
School Grade | 3 |
Weight | 56lb |
Choose which one. | I have registered in past years (any program). $0 |
Total Payment | 100 |
Which Team | Pee Wee Football (Grades 2-3): $100 |