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FA KIDS / BGMC
BIKE-A-THON
May 9 / 5:30 - 7:30 pm
Bike-A-Thon Participant
Riders First Name
Last Name
Parents First Name
Last Name
Would you like to volunteer to help at event?
YES
NO
Email
Phone Number
NO MOTORIZED EQUIPMENT IS PERMITTED
What type of wheels will you be using?
Bike
Scooter
Tricycle
Rollerskates/blades
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Bike A Thon Sponsorship
First Name
Last Name
Email
Phone Number
Child you are sponsoring
Donation per lap or set donation (please specify)
Payment Options
Cash
Check
Online payment
GO TO
FAMEMPHIS.ORG/GIVE
& SELECT
FA KIDS BGMC BIKE A THON
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