Pedal for the Park Rider Registration Form

2025 Pedal for the Park Registration Form
Rider Name*

First NameLast Name
Birth Date*

MonthDayYear
Rider/Parent Email*
example@example.com
Rider/Parent Phone Number*
Courses*
Are you riding as part of the Arkansas Valley High School Team Challenge?*

YesNo
Self Pledge--Fixed Amount
I.e. $200; N/A if non-applicable
Self Pledge--$/lap
I.e. $5; N/A if non-applicable
I acknowledge I/my child will wear a helmet; no helmet=no riding

I acknowledge
Thanks for suiting up and being a hero for our parks and trails! Your superpowers make all the difference!
Should be Empty:

2025 Pedal for the Park Registration Form