| Date Created | September 7, 2023 |
|---|---|
| Participant's Name | Lana Tuiaki |
| Participant's Age | 15 |
| Parent/Guardian Name | Melinda Tuiaki |
| Parent / Guardian Cell Phone Number | (801) 979-1289 |
| Parent / Guardian Email | Email hidden; Javascript is required. |
| Team Placement | Waena Team |
| Parent E-Signature | Melinda Tuiaki |
| Date | 9/7/23 |
| Participant E-Signature | Lana Tuiaki |
| Date | 9/7/23 |