Enter a Paper Form for Davie County GO FAR

Paper Forms

Enter each paper form you receive using the form below. After you click “Submit” you’ll be directed right back to this page to enter another one. (You won’t see a confirmation – don’t worry, as long as you clicked “Submit” and didn’t see any error messages, then your form was successfully submitted.)

Have questions? Ask Amber.

Child Information
Student Name
First Last
School
Grade
Teacher
T-Shirt Size
Additional Students
First Name Last Name Grade Teacher T-Shirt Size
Parent Information
Parent Name
First Last
Cell Phone
Email
Additional Parent Name
First Last
Cell Phone
Email
Emergency and Medical Information
Emergency Contact Name
First Last
Cell Phone
Relationship
Does the participant have any medical, physical, or any other conditions of which we should be aware?
If yes, please explain.
Does the participant have any allergies?
Please include allergies to foods such as peanuts.
Does the participant need to have a medication with them during the workouts?
Asthma inhaler, for example.
Are there any specific procedures, medications, etc. that our volunteer coaches should be alerted to?
If so, please explain in detail.
Payment Type
Cash/Check Amount
Check Number

Davie County GO FAR

PO Box 402, Advance, NC 27006

info@gofardavie.com

First Name	Last Name	Grade	Teacher	T-Shirt Size

Enter a Paper Form for Davie County GO FAR

Paper Forms

Child Information

Parent Information

Emergency and Medical Information