2024 Cycling VOLUNTEER Registration Form
Volunteers only need to complete ONE form for the year.
Participant Type
*
Please Select
Athlete
Volunteer
Family / Friend
Education
Military Staff
Sports Provider
Medical Professional
Move United Board Member
Warfighter
Move United Member
Participant Sub-type
*
Please Select
Pre 2001 Veteran
Post 2001 Veteran
Military Family
Foreign Military
Veteran w/o Disability
Professor
Student
Educational Professional
Primary Contact
Secondary Contact
K-12 Educator
School Administrator
Athletic Director
Official
Coach
Trainer
Classifier
Executive Director
Program Director
Program Manager
Program Coordinator
None
Branch of Service
*
Please Select
N/A
Air Force
Army
Coast Guard
Marine Corps
National Guard
Navy
Rank
Please Select
1LT
1SG
2LT
BG
Capt
COL
CPL
CSM
CW2
CW3
CW4
CW5
GEN
LTC
LTG
MAJ
MG
MSG
PFC
PV2
PVT
SGM
SGT
SMA
SPC
SSG
WO1
Last Name
*
First Name
*
Birth Date
*
-
Month
-
Day
Year
Date
Disability Type
*
Please Select
Neuromuscular
Mobility Impairment and/or Limb Loss
Deaf or Hard of Hearing
Blind or Low Vision
Cognitive / Intellectual
Dwarfism or Short Stature
Not Listed
I do not identify as having a Disability
Prefer not to say
Disability Sub-Type
*
Please Select
Cerebral Palsy
Multiple Sclerosis
Nerve Damage
Post Polio
Post Traumatic Stress Disorder
Spina Bifida
Spinal Cord Injury or Paralysis
Stroke
Traumatic Brain Injury
Joint Injury
Other
None
Date of Injury
-
Month
-
Day
Year
Date
Place of Injury
Gender
*
Please Select
Male
Female
Non-Binary
Prefer to Self Describe
Prefer not to Say
LGBTQ
*
Please Select
None
Yes
No
Prefer not to Say
Race
*
Please Select
White
Asian
Black or African American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Prefer not to Answer
Not Listed
Hispanic, Latino or Spanish Origin
*
Please Select
No, not of Hispanic, Latino or Spanish Origin
Yes, I am of Hispanic, Latino or Spanish Origin
Address
*
City
*
State
*
Zip
*
Cell Phone
*
Home Phone
*
E-mail
*
Volunteers are required to complete background clearances. What date did you COMPLETE your clearances? Return to the 'Volunteers' webpage if you need to do so.
*
I want to Volunteer for the following TRAS Cycling Series date(s):
*
May 18th
June 8th
June 15th
June 23rd
July 13th
July 27th
August 10th
August 24th
September 14th
September 28th
October 12th
Profession & Employer
*
Emergency Contact: Name / Phone Number / Relationship
*
RIDING VOLUNTEER. List all experience with adaptive cycling and equipment.
*
NON-RIDING VOLUNTEER. Preferred Duties:
*
Equipment
Photography
None
Clicking the 'Submit' button will take you to the REQUIRED Liability Waiver Form.
Submit
Should be Empty: