Wediko's 5th Annual Century Ride Registration
 

1. Registration for Wediko's 5th Annual Century Ride

 
You are registering for the 5th Annual Wediko Century Ride. The ride is a 100-mile (62 mi & 25 mi routes available) bike ride from Wediko's New Hampshire campus to our Boston office. All proceeds will be directed towards the "greening" of Wediko, including the redevelopment of hydropower on the Wediko dam of Black Pond. When we save money on energy costs, more money is available to help children and families.
All participants are required to raise a minimum of $1000*, but don't worry- we're with you every step of the way!

DATE: Saturday September 15, 2012(dinner/lodging available on Friday, September 14th in NH)
LOCATION: Start at Wediko's NH campus in Windsor, NH and finish at Wediko's Boston office (*high school & undergraduate students commit to raise $500)

1. Please enter the required information below

2. Your sex?

3. Will you be 18 years or older on September 15, 2012?

4. How did you hear about the ride?

5. All riders receive a cotton Wediko Century Ride t-shirt. Please indicate your t-shirt size below(sizes are unisex).

6. All riders also recieve a cycling jersey, made of technical fiber. Please indicate your size below. (Please keep in mind that these jerseys are typically worn as close fitting garments. If you would prefer a looser fit, please order a larger size.)

7. How do you plan to get to the start, Wediko's campus in Windsor, NH?
(If you are not sure, please give us your best guess. You can change your plan up until three weeks before the event. Please keep in mind that the ride ends 100 miles away. We can not guarantee that your car, if brought to the start, can be delivered to Boston)

8. Will you need a ride back to the start, Wediko's NH campus in Windsor, NH?

9. Will you stay with us on Friday night on Wediko's campus?
(If you know Wediko, then you know that the accommodations provided can be considered 'rustic'. Also, guests would need to provide their own towel, toiletries, pillow and bedding/sleeping bag.)

10. If you are staying on the Wediko setting Friday night, what is your sleeping preference?

11. How many miles do you plan to ride?

12. This event's success is dependent not only on our riders, but on our volunteers as well!
Do you know someone who would like to volunteer the weekend of the event? Please pass along their name and email or phone number so that we can contact them!

13. Do you know someone who may be interested in riding? Please let us know how to contact him/her/them and we'll send an invitation!

14. Please give us your emergency contact information.

15. I understand that by registering and agreeing to ride in the 5th Annual Wediko Century Ride on September 15, 2012, I am agreeing to raise a minimum of $1,000 for Wediko. (Don't worry-we will support you every step of the way! You will also have access to online giving. Please contact Kate Patton Regal if you are concerned at any time about your ability to fundraise- kregal@wediko.org)

16. We would like your permission to use century ride images (pictures, videos) for publicity purposes - such as newsletters, Wediko's Facebook page, website, brochures, etc. If you would be willing to release your image please check the appropriate box below.