| Application # | 294 |
|---|---|
| Application Submitted | June 9, 2023, 4:54 pm |
| Name | Tyler DeHarde |
| Address | 11211 Sw 51st St Davie Florida 33330 |
| DOB | 2006-06-18 |
| Age | 16 |
| steelsonic529@gmail.com | |
| Phone | 9543297549 |
| Emergency Contact | Jeremy Michael DeHarde |
| Emergency Number | 9542051445 |
| Drivers License | No |
| Tickets/Violations | No |
| Grade Completed | 11th grade |
| How did you hear about YATC? | Other |
| Automotive Experience | No |
| Where was your training? | |
| Do you have a job? | No |
| Place of Employment | |
| Hourly Wage | |
| Extra Comments |
