Bike Regina Membership Form
Please fill in form to acknowledge your membership and involvement with Bike Regina.
Email address *
First Name *
Your answer
Last Name *
Your answer
Daytime phone (i.e. 306-123-4567)
Your answer
Evening/weekend phone (i.e. 306-123-4567)
Your answer
Email *
Your answer
What ward do you live in (1, 2, etc)?
Your answer
What is the best way to reach you? *
Required
What area(s) of Bike Regina interests you the most? *
Required
How are you willing to help? *
Required
What is your availability (check all that apply)? *
Required
What special skills, training, or qualifications do you have that you would like to use in your volunteer role (graphics design, public speaking)?
Your answer
Which computer software programs do you have experience working with?
Your answer
How did you hear about Bike Regina?
Your answer
Why do you want to volunteer for Bike Regina?
Your answer
Gender
Age range
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