| Athlete's Name | Evelyn Langlas |
|---|---|
| Athlete's Birth Date | 04/26/2011 |
| Entry Date | 09/26/2023 |
| Registration Option | BSSEF Member ($675.00) |
| Insurance Provider | Blue cross |
| Insurance Policy Number | YDD840047947 |
| Primary Contact Name | Laney Langlas |
| Primary Contact Email | Email hidden; Javascript is required. |
| Primary Contact Phone | (406) 579-1872 |
| Alt Contact Name | Steve |
| Alt Contact Email | Email hidden; Javascript is required. |
| Alt Contact Phone | (406) 580-0848 |
| Please describe the athlete's allergies. | Celiac |