BIKETOWN FOR ALL - BIKE RESERVATION

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Please fill out this RSVP form to ensure we reserve enough BIKETOWN bikes

You must be at least 16 years old to ride a BIKETOWN bike.

Date: Friday, September 2nd, 2022

Time: 5:30 PM to 7:30 PM

Location: Moda Center (BIKETOWN Station), 1 NE MULTNOMAH ST

If you have any questions please contact André Lightsey-Walker at andre@thestreettrust.org

Attendee's Email Address *

Attendee's First Name *

Attendee's Last Name *

Do you need to reserve a BIKETOWN e-bike? *

Yes

Do you need us to provide a bike helmet? *

No, I will ride without a helmet

No, I will bring my own helmet

Yes, I will need to be provided with one

How comfortable are you bicycling? *

Very Uncomfortable

Very Comfortable

Have you ever used an electric bicycle?

Yes

Clear selection

Do you receive any of the following benefits?

Federal Student Aid (FAFSA) - Portland Campuses Only

Oregon Trail (SNAP)

Affordable housing resident

Qualify for unemployment assistance

Oregon Health Plan member (OHP)

TriMet Honored Citizen pass holder

TriMet Reduced fare pass holder

Other:

Comments and/or questions?

Submit

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