Roman Huemiller

255,2,2015-01-08 17:27:17,0,0,107.210.2.38,https://thequarterbackranch.com/camp-registration/?camp_name=McKinney+Christian+Academy+Skills+Camp&price=120,,USD,Approved,2015-01-08 17:27:17,6821234604,120,,1,,1,Mozilla/5.0 (Macintosh; Intel Mac OS X 10_6_8) AppleWebKit/534.59.10 (KHTML, like Gecko) Version/5.1.9 Safari/534.59.10,active,McKinney Christian Academy Skills Camp,$0.00,1,McKinney Christian Academy Skills Camp,Price,120,1,120,Roman Huemiller,08/05/03,5 foot,100 lbs,youth xl,5th,MCA,MCA,Baseball,Basketball,641 Maple Creek Dr,Fairview,Texas,75069,United States,Tom Huemiller,(972)562-2353,(214)878-8184,tom@ciccoatings.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.,641 Maple Creek Drive,Fairview,Texas,75069,United States,XXXXXXXXXXXX7250,Visa,120,,,,,,,,,,,,,,,,,