Capital Region Bike to Work Day Challenge 2016
Please fill out this form to register for Bike to Work Day (May 20th 2016).
First Name *
Your answer
Last Initial *
Your answer
E-mail address *
Your email address will not be published or shared with anybody.
Your answer
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.
Your answer
List your Team Captain if you know who it is. If it's you, list your name.
Your answer
Name of company or organization where you work *
Your answer
Estimated Daily Commute Distance *
List round trip bicycle miles you ride in one day's commute.
Your answer
By clicking below, I acknowledge that I understand the risks associated with bicycling and that CDTC is not responsible for any injuries or accidents. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy