#EVieWarrior - Jersey Healthcare workers
Please complete your details so we can setup your free #EVieWarrior EVieBike usage account. All information provided on this form will be deleted once your account is setup & will not be used for any other purposes.
Please download the App before collecting the bike from
Any files that are uploaded by you will be shared with EVie to set up your account.
* = Required
PLEASE PROVIDE YOUR WORK EMAIL ADDRESS - we can ONLY provide you with a free #EVieWarrior bike if you use your work email address.
Mobile Phone Number
We use this to send you a text with your #EVieWarrior membership ID and PIN.
Essential Worker ID ref number
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of EVie.