King Street Cycles Ladies Ride Sign-Up for July 5, 2021

El archivo no puede abrirse porque no tienes JavaScript habilitado en tu navegador. Habilítalo y vuelve a cargar el archivo.

Please complete this form in order to participate in the King Street Cycles Monday Night Ladies Ride. This form does not replace the need to complete a waiver. Waivers can be completed at King Street Cycles, Tuesday to Saturday. All riders must be members of the King Street Cycles Club or WCC.

Acceder a Google para guardar el progreso. Más información

Correo electrónico *

Name (First and Last) *

Phone Number (Example: 555-555-5555) *

Group Choice *

Fast & Furious (Fastest Pace - 6:30 start)

Moderate & Magnificent (Medium Pace - 6:35 start)

Calm & Casual (More Relaxed Pace - 6:40 start)

Unsure (I would like to be contacted by the ride leader to find out more information on which group would be most suitable)

Emergency Contact Name *

Emergency Contact Phone Number (Example: 555-555-555) *

Health Confirmation *

I confirm that I do not have any symptoms of COVID-19 and have not been in contact with someone who is a confirmed or presumptive case of COVID-19 within the last 14 days

Obligatoria

Public Health Compliance Confirmation *

I agree to abide by the current public health measures in place, including but not limited to physical distancing, while participating in this ride.

Obligatoria

Acknowledgement *

I acknowledge that my participation in this activity may expose me to COVID-19. Although current provincial health guidelines will be followed, this is not a zero risk activity.

Obligatoria

Enviar

Borrar formulario

Nunca envíes contraseñas a través de Formularios de Google.

El formulario se creó en geeky.net. Denunciar abuso

Formularios