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Daily Ride Form
MIATV Club Form
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Email *
Your Name
 *
Your phone number
 *
Date *
MM
/
DD
/
YYYY
Time
:
What time are you leaving for your ride?
 *
Time
:
What time do you plan on returning from your ride? *
Time
:
Where are you planning to go?
 *
Are you bringing someone? Who?
 *
Emergency contact name
 *
Emergency contact phone number
 *
A copy of your responses will be emailed to the address you provided.
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