Bike To Work Contest: Cascade Bicycle Club Education Foundation

2007 Group Health Commute Challenge

Vote for Best Team Name!

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Team Registration

Thank you for taking the initiative to organize a team for your workplace. One rider at a time, we are making a big impact on the quality of life in the Puget Sound.

To successfully register a team you will need some basic information. It is important that you read all of the Important Team Registration Information!

Please DO NOT FILL OUT THIS FORM until you have read this information.

Email [email protected] if you have followed the instructions for registering but are getting an error message. Please include a copy of the error message.

Fields marked with * are required

Team Information:

Team Name *

Company Name or
Organization Name*

Department/Workplace
or Building or Branch

Organization Zipcode*

Total # of employees
in org or dept*

Captain's Password*
(For Captain functions)

Team Password*
(For logging trips)

Team Captain Information:

First Name*

Last Name*

Home Address*

Address Line 2

City*

State*

Zipcode*

Daytime Phone*

Fax

Birthday* (MM/DD/YY)

Gender*

Male Female

Email*

Cascade Member*

Yes

New Commuter*

Yes

To promote the interests of cyclists and cycling we occasionally share names with other organizations.
If you do not want your name shared please check here.

Captain's Shirt Size*

S M L XL

I will pick up my shirt/packet at the following location/date:*

	Please mail my shirt and team legbands for a $6.00 charge. (You must complete, then mail or fax order form to us with your prefered method of payment). Packages mail out on April 25, then we ship twice a week as orders arrive. †
	Friday May 18th, 7am-9am: Starbucks Bike To Work Day Rally at Seattle City Hall, 600 4th Ave, Seattle
	April 23- May 31, 9:00-5:00pm: Seattle - Cascade Bicycle Club Office, 7400 Sand Point Way NE, 98115. Open during regular office hours. Please call ahead after May 7 to ensure stock is available; 206-522-3222.
† If you opt to have your shirt/packet mailed, a separate charge will apply. Selecting this option will open a new window containing a PDF order form (Adobe Acrobat Reader is required to view this form) Print and fill out the form and mail or fax it to us.

Team Members:

(A team must be at least four members including the captain)

Member #2:

First Name*

Last Name*

Email*

Zipcode

Gender*

Male Female

New Commuter*

Yes

Member #3:

First Name*

Last Name*

Email*

Zipcode

Gender*

Male Female

New Commuter*

Yes

Member #4:

First Name*

Last Name*

Email*

Zipcode

Gender*

Male Female

New Commuter*

Yes

Four team members are mandatory, add up to six more to challenge for the top honors!

(For each member you fill in below, you must enter an email address, specify gender, and indicate whether the person is a new commute rider.)

Member #5:

First Name

Last Name

Zipcode

Gender

Male Female

New Commuter

Yes

Member #6:

First Name

Last Name

Zipcode

Gender

Male Female

New Commuter

Yes

Member #7:

First Name

Last Name

Zipcode

Gender

Male Female

New Commuter

Yes

Member #8:

First Name

Last Name

Zipcode

Gender

Male Female

New Commuter

Yes

Member #9:

First Name

Last Name

Zipcode

Gender

Male Female

New Commuter

Yes

Member #10:

First Name

Last Name

Zipcode

Gender

Male Female

New Commuter

Yes

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