| Athlete's Name | Gus Klug |
|---|---|
| Athlete's Birth Date | 09/02/2011 |
| Entry Date | 11/08/2025 |
| Insurance Provider | Blue Cross |
| Insurance Policy Number | YDP10163 |
| Primary Contact Name | Jim |
| Primary Contact Email | Email hidden; Javascript is required. |
| Primary Contact Phone | (406) 581-6434 |
| Alt Contact Name | Hilary |
| Alt Contact Email | Email hidden; Javascript is required. |
| Alt Contact Phone | (406) 599-9942 |