Lyft Photo Release & Liability Waiver ("Release")

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To be filled out by attendees of EastBKBikeClub's 2024 Weekly Rides.

Email *

[OPTIONAL] Tell Us About Yourself

As a transportation service provider, we understand that someone's race, gender, and/or sexual orientation has an impact on their experience traveling around the city. The below questions are all optional, but answering them will help us develop better programming and services.

How do you describe yourself?

Check all that apply or "Decline to Answer"

American Indian or Alaska Native

Asian

Black or African American

Desi

Hispanic, Latinx/o/a or Spanish origin

Middle Eastern

Native Hawaiian or Other Pacific Islander

White

Person with a physical disability

Person with an auditory disability

Person with a visual disability

Immigrant

Veteran

Neurodiverse

LGBTQ+

Non-binary

Transgender

Cis-gender

Gender non-conforming

Woman

Man

Decline to Answer

Other:

What is your home neighborhood?

What is your age?

What is your preferred language?

Is this your first time riding Citi Bike

Yes

Decline to Answer

Clear selection

Please rate your sentiment on this statement: I feel like Citi Bike is for people like me.

No, Citi Bike is very much not for people like me

Yes, Citi Bike is very much for people like me

Clear selection

Clear form

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