BGDB: Akron Membership
Contact Information for Members of Black Girls Do Bike Akron, OH Chapter
Email address *
Name (First & Last) *
Your answer
Mailing Address *
Your answer
Mobile Phone Number *
Your answer
Closest Neighborhood *
Type of Bicycle that you own/ride?
Road
Mountain
Hybrid
Cyclocross
Single Speed
Fixed Gear
Fat Bike
29'r
Cruiser
Touring
Own
Ride
Will Purchase Soon
Riding Level Experience? *
How Do You Ride
Check style(s) that apply to you (speed is overall average riding speed of entire ride, not the maximum speed)
Currently *
Goals *
Additional Cycling Goals for 2018 *
Your answer
Reason for joining BGDB: Akron? *
Required
Are you a member of any other cycling club? *
If Yes, Please List.
Your answer
Best Time For You To Ride. (Check All that Apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Early Morning
Morning
Afternoon
Evening
Late Night
Are you interested in volunteer/leadership opportunities?
Any Additional Information You Would Like to Provide....(IE: Special Skills/Talents, Health Considerations, Transportation Concerns, etc)
Your answer
Thank You!
Thank You for your information and feedback. Your responses will be kept confidential and used to help reach your cycling goals.
A copy of your responses will be emailed to the address you provided.
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