Adam Stephenson

264,2,2015-01-12 02:43:01,0,0,173.74.150.159,https://thequarterbackranch.com/camp-registration/?camp_name=The+Mental+Game&price=95,,USD,Approved,2015-01-12 02:43:02,6829153421,95,,1,,1,Mozilla/5.0 (Windows NT 6.3; WOW64; Trident/7.0; MDDCJS; rv:11.0) like Gecko,active,The Mental Game,$0.00,1,The Mental Game,Price,95,1,95,Adam Stephenson,10/01/99,5’11”,148,Adult Medium,9,Carroll High School,Southlake Carroll,Baseball,1270 Lakeway Dr.,Southlake,Texas,76092,United States,Jill Stephenson,(817)421-1109,(817)421-1109,djstep@verizon.net,
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND I SIGN IT OF MY OWN FREE WILL.,1270 Lakeway Dr.,Southlake,Texas,76092,United States,XXXXXXXXXXXX9145,MasterCard,Create an account?,djstep,djstep@verizon.net,95,,,,,,,,,,,,,,,