Event Enrollment Form

G2G On-Line Event Enrollment Form

You can use this form to enroll in any Good-2-Go event.  Please submit a separate form for each event to which you wish to enroll.  This form is accepted as an official enrollment and submitting it holds you responsible for all costs and responsibilities associated with the activity.  
Participant Name:
Daytime Phone:
Evening Phone:
Email:
 Good-2-Go Member: Yes
No
 Do you use a mobility aid? No mobility devices used
Wheelchair
Walker
Cane/Staff
Event Enrolling In:
Event Date:
Participation Fee:
(Please insert fee that represents your membership status):
Transportation HUB where you
will be meeting the G2G team:		 Bend
Redmond
Independent transport to/from event
Questions/Comments
about Event:

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