2018AlbertaCrew Assignment Form

1. Contact Information: (Please PRINT Clearly)

Name:______
Email:______

Event Day Cell Number: ______

2. Please indicate any specialized licenses, skills, studies or interests i.e. marketing or event studies, medical designations, etc.

______

______

*Please bring a copy of medical and driving licenses with you to the event

3. Often Crew members help us move boxes and lift supplies. Are you comfortable lifting up to 25 lbs?

o Yes o No

4. Vehicles you are comfortable driving:

o Cargo Van / o Van or SUV / o 15 ft. Truck / o 24 ft. Truck / o Manual Transmission Truck

5. Assignment Choices: We will do our best to accommodate your choices, but the needs of the event come first.Please see list of crew teams and choices.

Lara Patrao │403-775-4676│
The Ride to Conquer Cancer, Suite 120, 707-7th Avenue, Calgary, AB, T2P 3H6

1. ______
2. ______
3. ______

Lara Patrao │403-775-4676│
The Ride to Conquer Cancer, Suite 120, 707-7th Avenue, Calgary, AB, T2P 3H6

6. As a driver, can you provide your own vehicle?o Yes o No

*If so, what type of vehicle are you bringing ______

  1. Are you collecting volunteer hours or references?o Yes o No

9. Are you part of a corporate team?o Yes o No

*If so, which corporate team are you a part of? ______

  1. Would you be interested in hosting Crew info session for your colleagues, social groups or fellow students? o Yes o No

11. Are you available on the Friday (day before event weekend)?o Yes o No

12. Would you be interested in a leadership role at the event?o Yes o No

13. Do you know someone who is riding in the event?o Yes o No

14. Do you have any physical limitations we should know about?o Yes o No

If so, please indicate their name here ______

15. Is there anyone we should make sure is on the same team as you?o Yes o No

If so, please indicate their name here ______

16. Why have you chosen to participate as Crew with the Ride to Conquer Cancer? ______

17. Are you a returning Crew Member?o Yes o No

If so, which team were you assigned last year? ______

18. How many years and in which capacity have you participated with us?

oCrew ______

oVolunteer ______

oRider ______

oThis is my first time participating ______

19. Registration Fee

Please submit your non-refundable $25 registration fee with this form. If you are submitting a personal cheque please make it payable to: Ride to Conquer Cancer.

● Visa● Mastercard ● Amex

Cardholder Name

Card Number

Expiry /

Cardholder Signature

Return to: The Ride to Conquer Cancer Attn: Crew Coach – Lara Patrao

Suite 120, 707-7th Avenue, Calgary, AB, T2P 3H6 Via Email:

Lara Patrao │403-775-4676│
The Ride to Conquer Cancer, Suite 120, 707-7th Avenue, Calgary, AB, T2P 3H6