7th Annual Ride for Bully Awareness
Registration for the 2018 Walk/Ride

Base Members ($20) receive a +1 Ride Pass with their membership. Silver Members ($100) receive a +3 pass. Non-Members will donate $25 for their pass. After filling out the form the confirmation message will display a link to our PayPal to pay for registration. You may also pay at the ride.

Email address *
Name *
Your answer
Additional Registrants: (If any)
Your answer
Address *
Your answer
Phone Number *
Your answer
Emergency Contact *
Name and Number of emergency contact
Your answer
Ride/Walk location: *
Will you be Walking or Riding?
Optional - Poker Hand *
$20 Buy in to be collected at event
Optional - Breakfast *
Breakfast/Coffee will be provided for an optional donation
Are you an existing StopBully.com/212 Member? *
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