Submission #165
Submission Info
| ID | 165 |
|---|---|
| Status | Unconfirmed |
| Date Submitted | 2023-11-05 18:40 |
| Date Modified | 0000-00-00 00:00:00 |
| Form Name | Participant Form |
| User | 0 |
User Submitted Data
| Organizaton Name | Dr. Boochart’s Kombucha |
|---|---|
| Contact Person | Dr. Chaz Rhinehart |
| Address | 105 E. Grand ave |
| City | Escondido |
| State | Ca |
| Zip Code | 92025 |
| Enter your email | docchaz@gmail.com |
| Phone Number | 7605059195 |
| Choose your event participation | Parade Entry |
| Parade Entry Type | Automobile - Classic |
| Entry Length In Feet | |
| # People in Entry | 1 |
| Parade Script | Dr.Boochart’s Hard Kombucha presents ~‘The Boochmoble’ driven by Dr. Boochart’s himself. Dr. Boochart Kombucha bar is located right here on Grand ave. |
| Initials | Cz |
| Printed Name | Chaz Rhinehart |
| Date Signed | 11/05/23 |