EmailMe Form - FlashCut Bike To Work Day for HPCF 8/16/2022

Name *

First Last

Email *

Confirm

Cell Phone

### - ### - ####

Emergency Contact Name

First Last

Emergency Contact Phone

### - ### - ####

Ride/Walk Preference

Long Bike Route

Short Bike Route

I am not riding

I am not riding or walking but I would like to sponsor:

First Last

Please put the person's name that you are sponsoring or leave blank if it is in your name.

Donation

$ Dollars

This is the amount that you are pledging to pay via the link below. Please Make sure that you put your donation amount above and additionally put "FlashCut Bike Day" in the form's field "Additional Instructions under Other Important Information on the HPCF Donation Form.

Click here to donate directly on the HPCF fundraising page.
(Note that if you already filled out this form via the original e-mail, you do not need to do it again.)

After paying online, please fill out the rest of this form and submit it.

100% of all payments will go directly to the Highland Park Community Foundation which is a registered 501(c)3 tax-deductible organization.

Release of Liability *

By checking this box I agree and understand that bicycle riding is inherently dangerous and I assume all risk and neither FlashCut CNC nor HPCF is responsible for any accident or injury that may occur.

I am not riding in the event.

Comments

Thank you for participating. We look forward to seeing you on Aug 16th at 7AM!