Austin Pence

1046,5,2015-07-07 18:01:06,0,0,166.173.187.187,https://thequarterbackranch.com/camp-sign-up/?camp_name=Under+Armour+Elite+Passing+Academy+presented+by+The+Quarterback+Ranch+and+Rich+Bartel,,USD,Approved,2015-07-07 18:01:07,7327918627,150,,1,,1,Mozilla/5.0 (iPhone; CPU iPhone OS 8_1_1 like Mac OS X) AppleWebKit/600.1.4 (KHTML, like Gecko) Version/8.0 Mobile/12B436 Safari/600.1.4,active,Under Armour Elite Passing Academy presented by The Quarterback Ranch and Rich Bartel,9th grade through 12th grade (Fall 2015 grade),Receiver,Price,$150.00,1,2,Austin Pence,8/13/2000,5’8″,140,Adult medium,9,Eaton High,Northwest,Baseball,216 Lonesome PrairieTrail,Haslet,Texas,76052,United States,Leah Pence,(817) 313-7001,(817) 313-7001,3.pence@sbcglobal.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.,Pay by credit card online,PO Box 375,Haslet,Texas,76052,United States,XXXXXXXXXXXX4583,Visa,150,,,,,,,,,,,,,,,,,,,,,,,,