Cycling Registration for June 15-17
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Type of Cycle (Subject to Availability)
*
Orange Recumbent
Red Upright Handcycle
Low to Ground Sport Handcycle
Grey Recumbent
Personal Bike
Other
Date & Time Please select all that apply
*
Tuesday 10-11am
Tuesday 11-12pm
Tuesday 1-2pm
Tuesday 2-3pm
Tuesday 3-4pm
Wednesday 11-12pm
Wednesday 2-3pm
Wednesday 4-5pm
Thursday 10-11am
Thursday 11-12pm
Thursday 1-2pm
Thursday 2-3pm
Thursday 3-4pm
Submit
Should be Empty: