Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Gotcha Boccia Registration form Manawatu
Registration form for Gotcha Boccia sessions
Sign in to Google
to save your progress.
Learn more
Full name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Male
Female
Prefer not to say
Other
Clear selection
Email Address
Your answer
Phone number
Your answer
Physical address
Your answer
Ethnicity
NZ European
Maori
Pacific Islander
Asian
Other
Clear selection
Do you yourself have a disability?
Yes
No
Prefer not to say
Clear selection
If answered yes on the previous question, please state what disability.
Your answer
Have you played Boccia previously?
Yes
No
Clear selection
Which session do you intend to attend?
Thursday 4 pm
Wednesday 5:30 pm
Clear selection
Consent to photos being taken
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
