JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Medical Information/Next-of-kin - AREZZO 5/7 MAY 2023
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
COGNOME CAVALIERE/RIDER SURNAME
*
Your answer
NOME CAVALIERE/RIDER NAME
*
Your answer
NOME CONTATTO EMERGENZA (che sarà presente durante la gara) / EMERGENCY CONTACT NAME (who will be present during the competition)
Your answer
Numero di telefono del contatto di emergenza (NON DEL CAVALIERE) / Phone number of emergency contact (NOT OF THE RIDER).
*
Your answer
Relazione con il cavaliere
*
Genitore/Parents
Istruttore/Coach
Groom
Partner
Amico - altro/Friend - other
Allergie o informazioni mediche importanti / Any allergies to medicines or important medical information
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
