Jackson Brock

244,2,2015-01-07 04:21:56,0,0,76.185.113.64,https://thequarterbackranch.com/camp-registration/?camp_name=McKinney+Christian+Academy+Skills+Camp&price=120,,USD,Approved,2015-01-07 04:21:56,6817155396,120,,1,,1,Mozilla/5.0 (Macintosh; Intel Mac OS X 10_8_5) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/39.0.2171.95 Safari/537.36,active,McKinney Christian Academy Skills Camp,$0.00,1,McKinney Christian Academy Skills Camp,Price,120,1,120,Jackson Brock,2-24-1999,5-9,155,Medium,10,Mckinney Christian Academy,Other,2602 Cedarwood Ct,Mckinney,Texas,75070,United States,Lee Brock,(972)562-2182,(214)244-5551,lbrock20@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.,2602 Cedarwood Ct,Mckinney,Texas,75070,United States,XXXXXXXXXXXX2696,MasterCard,120,,,,,,,,,,,,,,,,,,,