Name
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size
*
Please Select
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Birthday
*
-
Month
-
Day
Year
Date
Interest
*
Please Select
Bike Refurbishment/Mechanics
Administrative/Organizational
Event Management/Participation
Photography/Videography
Other
Demographic Information
Some of our funders ask us to report on the collective demographics of our board, staff, and volunteers. We appreciate you sharing the information below if you are comfortable; all reporting is anonymous.
Race/Ethnicity
American Indian/Alaskan Native
Asian
Black/African American
Hispanic/Latinx
Native Hawaiian/Pacific Islander
White
Multiracial
Prefer not to answer
Other
Gender Identity
Man/Male
Woman/Female
Transgender
Nonbinary/Gender Nonconforming
Prefer not to answer
Other
Emergency Contact Information
If the volunteer is under 18 years of age, the parent or legal guardian must be listed as emergency contact.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relationship to Volunteer
*
Emergency Contact Phone
*
Please enter a valid phone number.
Emergency Contact Email
*
example@example.com
Volunteer Release and Waiver of Liability
If the volunteer is under 18 years of age, the parent or legal guardian listed as emergency contact must read and sign the release and waiver.
Signature
*
By signing, I agree to the terms of the release.
Optional Message
Please verify that you are human
*
SUBMIT
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