Spinathon Reservation Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Are you planning on completing the Spinathon with a team?*

YesNo

Please enter your team member's names and email addresses. NOTE: They will each need to individually complete this form to reserve a spin bike.

Format: Team Member 1 Name, Team Member 1 Email

Please choose your desired time to participate in the Spinathon.*

8AM - 9AM9AM - 10AM10AM - 11AM

Please choose the spin bike you would like to reserve for the 8AM - 9AM slot.

Please choose the spin bike you would like to reserve for the 9AM - 10AM slot.

Please choose the spin bike you would like to reserve for the 10AM - 11AM slot.

After completing this form, you will be redirected to our fundraising website to make a donation in the amount of your choice (suggested donation amount is $150 per bike, per hour).

Click here to become a fundraiser! You’ll be able to create your own personal fundraising page to share with friends and family as you work toward raising $150 for your bike — or even more! Your supporters can donate directly through your page and even sign up to become fundraisers themselves, helping us spread the impact even further.