Graham Chernik

251,2,2015-01-08 03:29:51,0,0,96.226.160.37,https://thequarterbackranch.com/camp-registration/?camp_name=The+Mental+Game&price=95,,USD,Approved,2015-01-08 03:29:56,6819951096,95,,1,,1,Mozilla/5.0 (Windows NT 6.0) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/39.0.2171.95 Safari/537.36,active,The Mental Game,$0.00,1,The Mental Game,Price,95,1,95,Graham Chernik,11/20/2001,5’5”,140,Adult Medium,7th,Dawson,CISD,Baseball,Basketball,705 Dominion Drive,Southlake,Texas,76092,United States,Eric Chernik,(773)255-6722,(773)255-6722,eric.chernik@gmail.com,
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.,705 Dominion Drive5466160296865767,Southlake,Texas,76092,United States,XXXXXXXXXXXX5767,MasterCard,95,,,,,,,,,,,,,,,,,