Jackson Ballard

235,2,2015-01-06 15:45:51,0,0,192.91.75.29,https://thequarterbackranch.com/camp-registration/?camp_name=McKinney+Christian+Academy+Skills+Camp&price=120,,USD,Approved,2015-01-06 15:45:51,6814991516,120,,1,,1,Mozilla/4.0 (compatible; MSIE 8.0; Windows NT 6.1; WOW64; Trident/4.0; SLCC2; .NET CLR 2.0.50727; .NET CLR 3.5.30729; .NET CLR 3.0.30729; Media Center PC 6.0; .NET4.0C; .NET4.0E),active,04/03/2003,Large,6th,McKinney Christian Academy,4206 Canvasback Blvd,McKinney,Texas,75070,United States,(972)832-2724,(972)832-2724,mary-ballard@sbcglobal.net,McKinney Christian Academy Skills Camp,Price,120,1,Jackson Ballard,XXXXXXXXXXXX1357,Visa,4206 Canvasback Blvd,McKinney,Texas,75070,United States,
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.,Mary Ballard,120,McKinney Christian Academy Skills Camp,$0.00,1,120,,,,,,,,,,,,,,,,,,,,,,