First Name *

Last Name *

Phone *

Email *

Date of birth

Address

Street Address

City

State

Country

Zip Code

Helmet Acknowedgment *

I decline and accept full responsibility for that decision.

I choose to wear a helmet.

I understand that wearI understand that wearing a helmet can reduce the risk of serious head injury and that Social Cycle offers helmets at no charge. I have been advised to wear one.

E-Signature

Clear

Electronic Consent and Privacy Policy. By checking this box, you agree to use your electronic signature in place of a handwritten one for this document and any related agreements.

You understand that a) You may request a paper copy of any electronically signed document at any time, b) You may withdraw your consent to use electronic signatures by notifying us in writing, and c) There is no fee or penalty for requesting paper copies or withdrawing consent.

I understand that The Social Cycle may contact me for administrative, safety, or legal purposes, as well as occasional marketing communications. I acknowledge that my information will be handled in accordance with the company’s Privacy Policy.