South Jersey FCA

First and Last Name

Cell #

Email:

Church Affiliation

Age

Emergency Contact

Relation

Phone Number

I would be interested in doing a group bike ride:

Weekly

Monthly

Yearly

This is my first & last ride!

I would be most interested in riding:

1-25 miles

25-50 miles

50+ miles

My Cycling Skill Level is:

I would like more information about being an FCA Volunteer to: (Check all that apply)

Help lead bike rides as an FCA Huddle leader

Volunteer at an FCA Cycling Event (Bike Rodeo, Fix Bikes, Drive Support Vehicle, Man a water table, etc.)

Volunteer at other FCA outreaches (Surf Camp, Skateboarding Clinic)

Participate in Surfing or Paddling Huddles

Fellowship of Christian Athletes