| Date Created | December 27, 2023 |
|---|---|
| Participant's Name | Tatiana Dominguez |
| Participant's Age | 7 |
| Parent/Guardian Name | Kainani Clark |
| Parent / Guardian Cell Phone Number | (808) 800-6501 |
| Parent / Guardian Email | Email hidden; Javascript is required. |
| Team Placement | Keiki Team |
| Parent E-Signature | Kainani Clark |
| Date | 12/27/23 |
| Participant E-Signature | Tatiana Dominguez |
| Date | 12/27/23 |