Capital Region Bike to Work Day Challenge 2016

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Please fill out this form to register for Bike to Work Day (May 20th 2016).

First Name *

Last Initial *

E-mail address *

Your email address will not be published or shared with anybody.

Team Name *

Please select your team's name from the options below, ordered by county. If you do not see your employer, select "create a team" at the bottom and complete the next question. We update this list daily starting mid-April.

Enter a New Team Name Here

Make sure to choose a name your future team mates will recognize.

List your Team Captain if you know who it is. If it's you, list your name.

Name of company or organization where you work *

Estimated Daily Commute Distance *

List round trip bicycle miles you ride in one day's commute.

By clicking below, I acknowledge that I understand the risks associated with bicycling and that CDTC is not responsible for any injuries or accidents. *

I understand.

Required

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