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Joy Riders Pgh New Rider Info Form
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Email *
Name of rider *
Age of rider *
Weight of rider (250 Lb limit) *
Name of caregiver filling out this form, and relationship to the rider *
Please tell us a little about this rider's abilities and limitations. *
Contact phone number *
How did you hear about us? *
A copy of your responses will be emailed to the address you provided.
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