Here We Ride – Event Registration

Rider's Name
First Last
Is the rider 18 years or older?*
Parent / Guardian Information
Parent / Guardian Name*
First Last
Parent / Guardian Email Address*
Parent / Guardian Phone Number*
Parent / Guardian Permission to Participate*
- I grant permission for the rider to participate in the Here We Ride event.
Rider Information
Rider's Date of Birth*
Rider's Gender*
Rider's Email Address*
Rider's Cell Phone*
Rider's Mailing Address*
Street Address Address Line 2 City State ZIP Code
Rider's Home Congregation & City*
Rider's T-Shirt Size*
Emergency Contact*
First Last
Emergency Contact's Phone Number*
Ride Distance in Miles (anticipated)*
Please select your anticipated distance you plan to ride at event (miles) - you're not "locked in" to what you sign up for, it is merely to help us plan the day. (For perspective: A round trip ride from Start at Bethany, Charlevoix, to Petoskey’s waterfront park is 30 miles – see draft of course mileages for more details)
Additional (non-riding) Family Members to RSVP for Day-of Events (Worship, Fellowship, Picnic, etc)*
Liability Waiver*
- In consideration of my participation in the Here We Ride event, I waive any and all claims for myself, my children, my administrators, and my heirs against all officials, sponsors, and organizations and their employees and volunteers connected with the Here We Ride event for injury or illness which may directly or indirectly result from my participation in this event. I attest that I am physically able to participate and I have full knowledge of the risks involved in this event. I understand the Michigan District and other sponsors encourage all participants to wear bike helmets and other safety gear and only ride on properly maintained bicycles.
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Here We Stand – Michigan District, LCMS

Here We Ride – Event Registration

Parent / Guardian Information

Rider Information