MyRIDE Registration Form

All riders must wear a helmet and follow the MYRIDE Guide Instructions to participate.

MyRIDE has a $15 registration fee. After signing up, a BNB staff member will contact you about payment.

Name: *

Birthday: *

Contact Information

Street Address: *

City: *

State: *

Zip Code: *

Phone Number: *

Do you need to borrow a bike?: *

Do you need to borrow a helmet?: *

Emergency Contact: *

Emergency Phone: *

Medical Concerns / Allergies:

By submitting this form, I accept the following agreement:

I hereby release Bikes Not Bombs and MYTOWN Inc., any of the townships through which MYRIDE will pass, and any of the sponsors, fiscal agents, or employees of any and all claims, demands, and causes of actions arising out of participation in the MYRIDE event. I have full knowledge of the risks involved, and I am (or my child is) fit to participate in this event.

I Agree: *

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