| Date Created | November 5, 2024 |
|---|---|
| Participant's Name | Jordan Newman |
| Participant's Age | 18+ |
| Participant's Cell Phone Number | (858) 395-8810 |
| Participant's Email | Email hidden; Javascript is required. |
| Team Placement | Holomua Team |
| Participant E-Signature | Jordan Newman |
| Date | 11/5/24 |