Submission #25

Submission Info

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

User Submitted Data

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
Booth Type None
Booth Location - Select One Maple Street Plaza
Initials JFH
Printed Name Juan Hernandez
Date Signed 8/23/22