Jack & Back Volunteer Registration Form

September 12 - 13, 2026

If you have any questions please contact Preston KN4BVA at kn4bva@gmail.com
Name

First NameLast Name
Call Sign
Email
example@example.com
Cell Phone Number
Format: (000) 000-0000.
T-Shirt Size
Have you volunteered for Jack and Back before?
Volunteer Positions
Select all the positions you want to volunteer for:
What days can you volunteer for:
Select the days you can volunteer:
EMERGENCY CONTACT INFORMATION

BIKE MS requires that all volunteers provide emergency contact name and phone number. Please enter your emergency contact below:
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Any notes or comments for Preston (Event Coordinator):
Thank you for volunteering for this event!

Be sure to click the SUBMIT icon to send this to Preston.

If you want more details on this event, please visit the official event website at:

https://events.nationalmssociety.org/pages/11482?eventID=2746
Should be Empty:

September 12 - 13, 2026