| Athlete's Name | Gus Klug |
|---|---|
| Athlete's Birth Date | 09/02/2011 |
| Entry Date | 11/10/2023 |
| Registration Option | BSSEF Member ($675.00) |
| Insurance Provider | BCBS |
| Insurance Policy Number | YDP10163 |
| Primary Contact Name | Jim Klug |
| Primary Contact Email | Email hidden; Javascript is required. |
| Primary Contact Phone | (406) 581-6434 |
| Alt Contact Name | Hilary Klug |
| Alt Contact Email | Email hidden; Javascript is required. |
| Alt Contact Phone | (406) 599-9942 |