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Event registration
Event Timing: September 8th - 0800 check in time
Event Address: 1138 E Poleline Ave, Post Falls, ID 83854
Email us
with your questions.
This form is to be used for accountability and emergency contact information.
* Indicates required question
Email
*
Record my email address with my response
Name
*
Your answer
Do you belong to an Organization
*
Do you belong to a Riding group, club, or organization?
Yes
No
Required
If yes, Name of Organization:
Please indicate your organization
Your answer
How many are you registering for?
If you are registering for a group of riders, please select group and add your number to the next section.
Rider
Rider and passenger
Group
If Registering for a group, How many Participants?
Please include yourself in the total number of participants you are registering for.
Your answer
Breakfast begins at 0630 - Do you plan on attending?
*
Breakfast will be hosted by Post 143. Cost is $10 and these proceeds will stay with Post 143.
Yes
No
Unknown
Required
What do you ride?
*
What kind of wheels do you Rock?
2 Wheels
3 Wheels
Medical concerns or issues
In the case of an emergency, we wish to have some information that would / could be critical in your care / stabilization.
Your answer
Phone number
This should be the number for us to contact you on either by call or text. We can also send out information like the Route and any updates leading up to and including the day of this event.
Your answer
First responder Qualified?
Yes
No
Clear selection
I have reviewed the attached Event Waiver Form.
Event Waiver Form.
*
Your answer
Send me a copy of my responses.
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