Markham Cycling Day

Markham Cycling Day 2015 Online Registration Form

Participant Information

Participants (up to maximum of 3) with the same home address can register under one application form.

(Click here to learn about our privacy policy)

Indicates required * field.

Registration for* Tour de Markham
Children's Giro Bike Races
Both
Contact Name*
Relationship to Participant(s)*
Address*
City*
Postal Code* (L3R9W3)
Home Phone* - -
Alternate Phone - -
Email Address*
Confirm Email Address*
How did you hear about the Markham Cycling Day Event?*







How many people from your household (including spectators) will attend the event?*
 
Participant #1
First Name*
Last Name*
Gender*  Male       Female
Date of Birth (MM/DD/YY)*
Participating Giro Race, if applicable*
3-4 years old, 100 meters, 10:45 AM
5-7 years old, 1.5km (1 lap), 11:15 AM
8-10 years old, 1.5km (1 lap), 12:00 PM
8-10 years old, 3km (2 laps), 12:00 PM
11-12 years old, 3km (2 laps), 12:30 PM
13-14 years old, 3km (2 laps), 12:30 PM
Have you participated in this event before?*  Yes      No
 
Participant #2
First Name*
Last Name*
Gender*  Male       Female
Date of Birth (MM/DD/YY)*
Participating Giro Race, if applicable*
3-4 years old, 100 meters, 10:45 AM
5-7 years old, 1.5km (1 lap), 11:15 AM
8-10 years old, 1.5km (1 lap), 12:00 PM
8-10 years old, 3km (2 laps), 12:00 PM
11-12 years old, 3km (2 laps), 12:30 PM
13-14 years old, 3km (2 laps), 12:30 PM
Have you participated in this event before?*  Yes      No
 
Participant #3
First Name*
Last Name*
Gender*  Male       Female
Date of Birth (MM/DD/YY)*
Participating Giro Race, if applicable*
3-4 years old, 100 meters, 10:45 AM
5-7 years old, 1.5km (1 lap), 11:15 AM
8-10 years old, 1.5km (1 lap), 12:00 PM
8-10 years old, 3km (2 laps), 12:00 PM
11-12 years old, 3km (2 laps), 12:30 PM
13-14 years old, 3km (2 laps), 12:30 PM
Have you participated in this event before?*  Yes      No

Submit your registration form

IN ORDER TO USE THIS ONLINE SERVICE, USERS ARE REQUIRED TO INDICATE THAT THEY HAVE READ AND ACCEPT THE CITY OF MARKHAM'S "WAIVER OF LIABILITY AND PHOTOGRAPHY CONSENT/RELEASE". BY SELECTING THE "I HAVE READ AND AGREE" CHECKBOX BELOW, YOU ARE AGREEING TO BE BOUND BY THE CITY OF MARKHAM'S "WAIVER OF LIABILITY AND PHOTOGRAPHY CONSENT/RELEASE".

*I HAVE READ AND AGREE TO THE TERMS AND CONDITIONS ABOVE AND TO THE CITY OF MARKHAM'S WAIVER OF LIABILITY AND PHOTOGRAPHY CONSENT/RELEASE.

Personal Information on this form is collected under the authority of the Municipal Act, 2001. The information collected will be used by the City of Markham to register participant to Markham Cycling Day 2015. Questions about the event can be directed to Transportation Demand Management Coordinator, Engineering Department, 101 Town Centre Boulevard, Markham, Ontario, L3R 9W3, Telephone: 905-477-7000 ext. 2160.


 

 

TOP This page was last updated on 21-Aug-2015