| ID | 369 |
|---|---|
| Status | Confirmed |
| Date Submitted | 2025-11-04 15:30 |
| Date Modified | 0000-00-00 00:00:00 |
| Form Name | Participant Form |
| User | 0 |
| Organizaton Name | Valley Center Democrat Club |
|---|---|
| Contact Person | Chris Jensen |
| Address | 30735 Lilac Hills Lane |
| City | Valley Center |
| State | CA |
| Zip Code | 92082 |
| Enter your email | chrisjensen513@gmail.com |
| Phone Number | 2066618360 |
| Choose your event participation | Parade Entry |
| Parade Entry Type | Walking Group |
| Entry Length In Feet | 15 |
| # People in Entry | 10 |
| Parade Script | |
| Initials | CJ |
| Printed Name | Christopher Jensen |
| Date Signed | 11/4/25 |