Brennan Stapleton

1062,5,2015-07-08 21:25:13,0,0,,,,USD,Approved,2015-07-08 21:25:14,7331606290,350,,1,,1,Mozilla/5.0 (iPad; CPU OS 8_1_2 like Mac OS X) AppleWebKit/600.1.4 (KHTML, like Gecko) Version/8.0 Mobile/12B440 Safari/600.1.4,active,Under Armour Elite Passing Academy presented by The Quarterback Ranch and Rich Bartel,5th grade through 8th grade (Fall 2015 grade),Quarterback,Price,$350.00,1,2,Brennan Stapleton,08/06/2001,5 ft 6 in,105 lbs,Adult Small,8,Medlin Middle School,NISD,Other,2224 Edinburgh Ave,Trophy Club,Texas,76262,United States,Mike Stapleton,(817) 846-2721,(817) 846-2721,,
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,2224 Edinburgh Ave,Trophy Club,Texas,76262,United States,XXXXXXXXXXXX4014,Visa,Create an account?,mstapleton01,,350,,,,,,,,,,,,,,,,,,,,,