| Date Created | September 16, 2023 |
|---|---|
| Participant's Name | Lydia Haleua |
| Participant's Age | 9 |
| Parent/Guardian Name | Jackie Haleua |
| Parent / Guardian Cell Phone Number | (801) 717-7620 |
| Parent / Guardian Email | Email hidden; Javascript is required. |
| Team Placement | Kamali’i Team |
| Parent E-Signature | Jacklyn Haleua |
| Date | 09/16/2023 |
| Participant E-Signature | Lydia Haleua |
| Date | 09/16/2023 |