Mason Packwood

241,2,2015-01-07 01:51:04,0,0,108.19.91.111,https://thequarterbackranch.com/camp-registration/?camp_name=The+Mental+Game&price=95,,USD,Approved,2015-01-07 01:51:04,6816943855,95,,1,,1,Mozilla/5.0 (Macintosh; Intel Mac OS X 10_8_4) AppleWebKit/536.30.1 (KHTML, like Gecko) Version/6.0.5 Safari/536.30.1,active,The Mental Game,$0.00,1,The Mental Game,Price,95,1,95,Mason Packwood,07/26/2000,5’11”,135,adult M,8,Liberty Christian School,private,Baseball,Basketball,1242 Robin Dr,Keller,Texas,76262,United States,Eric Packwood,(817)337-5957,(817)800-8286,eapackwood@yahoo.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.,1242 Robin Dr,Keller,Texas,76262,United States,XXXXXXXXXXXX0250,Visa,95,,,,,,,,,,,,,,,,,