CHAD STRONG
CHAD BEIERLE TRAIL RIDE FUNDRAISER
First Name *
Your answer
Last Name *
Your answer
Email address *
Only event information will be sent to your email.
Your answer
Age *
Emergency contact Name & phone number *
(to be used for emergency only)
Your answer
Prefferred biking distance *
Donation Pledge Amount GOAL *
Personal & sponsors combined
I agree to ride in a safe and prudent manner. I will be alert for trail hazards including others using the trail, vehicle traffic crossing the trail, potholes, curves, soft shoulders, walkers & runners, etc. (Parental Approval Signature for child listed above.) *
Please initial and date
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