Athlete's Name | Jax Kelsay |
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Athlete's Birth Date | 09/06/2012 |
Entry Date | 09/25/2023 |
Registration Option | BSSEF Member ($675.00) |
Insurance Provider | Aetna |
Insurance Policy Number | W215810050 |
Primary Contact Name | Dan Kelsay |
Primary Contact Email | Email hidden; Javascript is required. |
Primary Contact Phone | (406) 580-9777 |
Alt Contact Name | Kim Kelsay |
Alt Contact Email | Email hidden; Javascript is required. |
Alt Contact Phone | (209) 200-1819 |