Jackson Ballard

518,2,2015-03-26 23:11:30,0,0,76.215.45.74,https://thequarterbackranch.com/camp-registration/?camp_name=McKinney+Christian+Academy+Skills+Camp&price=100,,USD,Approved,2015-03-26 23:11:30,7039453568,100,,1,,1,Mozilla/5.0 (Macintosh; Intel Mac OS X 10_10_2) AppleWebKit/600.3.18 (KHTML, like Gecko) Version/8.0.3 Safari/600.3.18,active,McKinney Christian Academy Skills Camp,$0.00,1,McKinney Christian Academy Skills Camp,Price,100,1,100,Jackson Ballard,4/3/03,5′,75,YL,6,MCA,Christian,4206 Canvasback Blvd,McKinney,Texas,75070,United States,Mary Ballard,(972) 562-3639,(972) 832-2724,mary-ballard@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.,4206 Canvasback Blvd,McKinney,Texas,75070,United States,XXXXXXXXXXXX6035,Visa,100,,,,,,,,,,,,,,,,