JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Register: Keney Park Picnic ride, Sun July 2nd
Each individual adult participant (or their parent/guardian) should complete one registration form.
Event co-sponsored by
Hartford Bike Club
and
BikeWestHartford.org
Meet up Sun July 2nd 10am at West Side Square, roll out at 10:15am
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First name
*
Your answer
Last name
*
Your answer
Email
*
Your answer
Want to receive occasional emails from Bike West Hartford?
Yes
I am at least 18 years old (or I am the parent/guardian of a youth participant listed above) and understand that bicycling accidents can and do occur, and sometimes cause serious and permanent injuries, despite all reasonable care. I voluntarily agree to release Bike West Hartford Inc. (including its volunteers and other co-sponsors) from all claims and liabilities (including those based on negligence and carelessness) for this free event, including the group bicycle ride, safety instruction, training, repairs, and any related indoor or outdoor activity.
Also, the participant will properly use a helmet when riding a bicycle during this event.
Also, I voluntarily grant Bike West Hartford Inc. (and its volunteers and co-sponsors) the power to authorize medical treatment for the participant during this event.
*
Yes, I agree
Required
Emergency contact phone number (for relative or friend not participating in this ride)
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms