| Athlete's Name | Elijah Harder |
|---|---|
| Athlete's Birth Date | 01/23/2010 |
| Entry Date | 11/11/2024 |
| Insurance Provider | BCBSMT |
| Insurance Policy Number | YDD928017485 |
| Primary Contact Name | Jeremy Harder |
| Primary Contact Email | JHARDER@BSSD72.ORG |
| Primary Contact Phone | (406) 581-3307 |
| Alt Contact Name | Kristin Gardner |
| Alt Contact Email | kristin.k.gardner@gmail.com |
| Alt Contact Phone | (406) 539-2350 |