| Athlete's Name | Kelia Gomes |
|---|---|
| Athlete's Birth Date | 09/13/2008 |
| Entry Date | 10/29/2023 |
| Registration Option | BSSEF Member ($675.00) |
| Insurance Provider | Montana Health Coop |
| Insurance Policy Number | 3920056296 |
| Primary Contact Name | Eric L Gomes |
| Primary Contact Email | Email hidden; Javascript is required. |
| Primary Contact Phone | (808) 783-7046 |
| Alt Contact Name | Sherri Gomes |
| Alt Contact Email | Email hidden; Javascript is required. |
| Alt Contact Phone | (808) 375-2489 |
| Please describe the athlete's allergies. | Peanuts and all other tree nuts |