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

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

Agree to Terms and Conditions

Biker/ Slingshot Single Riders

$25.00

Sling Shot/ Biker Double Rider

$35.00

I Want to be a VENDOR

(You will be responsible for bringing your own table, tent, chair etc.)

$50.00

Sponsorship/Donation Opportunities

Sponsorship amounts start from $150 up to $1,000.

$150.00 Select A Sponsorship Level

Enter coupon

Subtotal

Tax

Total

Credit Card

Apple Pay

Cash App Pay

Annual Ride For Scholars