Andy Johnson Memorial CLA Bike-a-Thon Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for supporting the CLA Building Project and remembering Andy Johnson, former CLA teacher and bike-riding enthusiast!
Complete this form to register for the Bike-a-Thon on Saturday, April 30 at Christian Life Academy. Registration is $5, and T-shirts are $15. TURN IN PAYMENT TO THE SCHOOL OFFICE... T-shirts will ONLY be ordered for those who turn in their payment by Tuesday, April 5. There is NO online payment option.

Bike-Rider's Full Name *

Email Address *

Phone Number (parent contact) *

Do you want T-shirt(s) *

Yes, a t-shirt for the rider ($15)

No t-shirt

Extra t-shirts ($15 each)

Required

T-shirt size (rider)

Youth M

Youth L

XXL

XXXL

Clear selection

T-shirt size (extra 1)

Youth M

Youth L

XXL

XXXL

Clear selection

T-shirt size (extra 2)

Youth M

Youth L

XXL

XXXL

Clear selection

Payment amount. (add $5 entry plus $15 per shirt)

How will you make payment?

Cash or check to school office by April 5th to reserve shirts! (or later with no shirt guarantee)

I'm out of the area and will need alternate arrangements - I will call the office!

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Christian Life Academy.

Does this form look suspicious? Report

Forms