Try to copy and paste the image of the signup sheet to a document. Then use text boxes, to fill in the blanks. Then go on google. Type white into google images, drag an image of pure white onto your desktop, then copy and paste the image I sent you via email, then copy and paste your answers. Then drag them to fit accordingly. Save it. Then send it to me again via email.
Or if you are unable to do that just print it off, fill it in with a pencil/pen scan it into an image then send it to me via email.
Or if you are unable to do that, just tell me the answers.