Pokai Bay Flat Water Day Participants

Email First Name Last Name Comfort New? Session Surf Time Size Email Phone Text? Diagnoses Birth Year Gender Street City State Zip Country Residency Travel? Military Ethnicity HH Income HH Number Participant? Volunteer? Photo Release Transfer Type Equipment Needed Communication Precautions
russ@accessurf.org Russ kim Very Comfortable Yes 9:30 AM – 11:00 AM Extra Small russ@accessurf.org 8085516824 Yes, please text me. 1980 Male 3593 Alani Drive, Honolulu HI 96822 United States Oahu None No $50,001 – $60,000 3 Family Member/Friend/Caregiver (Supporting the Participant) Yes I agree Walk Verbal Allergies

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