| ID | 25 |
|---|---|
| Status | Unconfirmed |
| Date Submitted | 2022-08-23 07:40 |
| Date Modified | 0000-00-00 00:00:00 |
| Form Name | Participant Form |
| User | 0 |
| Organizaton Name | BSA Troop 669 |
|---|---|
| Contact Person | Juan Hernandez |
| Address | 1054 Circle Drive |
| City | Escondido |
| State | CA |
| Zip Code | 92025 |
| Enter your email | jhernandezwork@gmail.com |
| Phone Number | 7608356932 |
| Choose your event participation | Parade Entry |
| Parade Entry Type | Walking Group |
| Entry Length In Feet | 10 |
| # People in Entry | 16 |
| Parade Script | |
| Initials | JFH |
| Printed Name | Juan Hernandez |
| Date Signed | 8/23/22 |