GTD Extended Summer 2020 Program Sign-Up Form

To participate in the GTD Extended Summer 2020 Program, complete the form below and submit it.
You may pay via PayPal by going to the GTD Payments page.
If you are paying by check, make it payable to GTD, mail it to GTD, 29 Buckingham Road, North Andover, MA 01845, and send the check # via email to info@goingthedistancefb.com.
Please note: Your registration is not completed until payment is made.

Participant's Name(s):
Address:
City/State/Zip:
Date of Birth:
Age on August 17, 2020:
Male/Female: Male || Female
Primary Phone:
Alternate Phone:
Athlete's E-mail address:
Parents' E-mail address:
School attending in fall:
Primary Sport: XC | soccer | track | field hockey | ice hockey
basketball | baseball | lacrosse
football | other
Current Health (include any current injuries or health concerns):
Additional Information:
Program Fee: $80 per athlete
Payment Choice: I am paying via PayPal
I am mailing a check
Signature:

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