Employer/Institution Registration Form

Complete the registration form below to enter as an PARTICIPATING EMPLOYER or INSTITUTION in the
Bay State Bike Week 2008 Commuter Challenge!

DEADLINE to register is Friday, May 16th.

* Indicates Required Field

*Company/Institution Name:
*Contact Person at Company/Institution :
*Address:

*City:

*Zip Code:

*Phone: 

 (Work)
* Email:
   

Please choose the appropriate competitor category based on the number of employees or students in your company/ organization.

* Please check one of the following.

1-25 employees
26-100 employees
101-500 employees
501-1,500 employees
1,501-3,000 employees
3,001-5,000 employees
5,001+ employees
Academic Small ~ 0-5000 students/employees
Academic Large ~ 5001+ students/employees
 
Your company/organization can earn Bicycle Friendly Bonus Points. Please check off the amenities offered at your business facility to earn bonus points.
 
Bicycle Parking - 10 bonus points
My company/ organization provides secure racks, lockers, bike cages, or other methods for employees/students/affiliates to safely secure their bike.
 
Bicycle Education - 10 bonus points
My company/ organization provides literature to employees/students on helmet use and how to safely ride on city streets as a part of its ongoing health and safety message.
 
Showers/Changing Facilities - 15 bonus points
My company/organization provide employees a place to shower, and store a change of clothes after cycling to work.
 
Cycling Club - 15 bonus points
My company/organization sponsor an employee/students cycling club that holds regular meetings and participates in area rides and events.
 

 

By checking the box below, I agree to the following statement:
YES, I agree.

NO, I do not agree.

I hereby assume all risks inherent in this activity and hold harmless event organizers (ABC TMA, South Boston Seaport TMA, TranSComm, Charles River TMA, CommuteWorks, Harvard University, Junction TMO, City of Boston, MassCommute and the City of Cambridge), its members, agents, officers, employees, and my employer of any and all claims and liabilities arising from participation.  I have full knowledge of the risks involved and I am fit to participate in this event.

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2008 Bay State Bike Week Sponsors

  
2008 Bay State Bike Week Organizers

 

MassCommute (c/o Charles River TMA) | 238 Main Street, Suite 306 | Cambridge, MA 02142 | Tel. (617) 918-4456