Ride For Scholars Registration Form

Your Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Name

First NameLast Name

If you are riding with a passenger, please provide their name.

First NameLast Name

Participant Options

Biker/ Slingshot Single Riders

$25.00

Sling Shot/ Biker Double Rider

$35.00

I Want to be a VENDOR

(Tables are available under the pavilions or you will be responsible for bringing your own table, tent, chair etc.) Please indicate in the box below what you will be selling.

$50.00

Sponsorship/Donation Opportunities

Sponsorship level descriptions below:

$250.00 Select A Sponsorship Level

Ride For Scholars T-Shirt

$20.00 Size

Enter coupon

Subtotal

Tax

Total

Payment Methods

Credit Card

Apple Pay

Cash App Pay

*VENDORS ONLY* (What will you be selling?)

Agree to Terms and Conditions

Annual Ride For Scholars

Participant Options*

Payment Methods

Participant Options