New City Kids Bike Tour 2018 Registration
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Street Address *
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Gender *
Phone Number *
Your answer
Shirt/Jersey Size *
Date of Birth *
MM
/
DD
/
YYYY
Health Insurance provider name *
Your answer
Do you own a Road Bike? *
Are you an Alumnus of New City Kids? *
What is the longest bike ride you have accomplished? *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone # *
Your answer
Emergency Contact Relationship
Your answer
Interested in being a team captain?
How do you plan to arrive to the start of the ride?
Your answer
Select your Fundraising Level? *
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