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DONATIONS

Cash, credit card or cheques made payable to: The Kidney Foundation of Canada, BC & Yukon Branch.

Please print clearly and fill in all the fields.

Tax receipts will be issued for donations of $20 or more.

Credit Chq Cash

Kidney Bike Community __________________

First Name ____________________________

Last Name ____________________________

Address ______________________________

_____________________________________

City __________________________________

Postal Code ___________________________

Phone ________________________________

Email _________________________________

Team Information

Team Name ____________________________

Team Captain __________________________

Additional Family Members Biking*

______________________________________ *if participant is under 18 years of age, parent or guardian must sign

Signature ______________________________

Date __________________________________

Waiver: I hereby release and discharge The Kidney Foundation

of Canada, BC & Yukon Branch and other participating distributors and sponsors from any claims, injuries, losses or liabilities suffered or incurred as a result of my participation.

Privacy Statement: The information you have provided will be used to process your donation and to provide you with a tax receipt. From time to time, we may use your contact information to keep you informed of other activities, events and fundraising opportuni-ties in support of the Foundation.

If you do not want to receive ongoing communication from the

Foundation, check here Charitable Registration No. 107567398 RR 0001

First Name | Last Name

Street Address Email

$ $ $

Credit Card Number (16 digits)

City Prov PC Phone

MC Visa Amex

Circle type of card Expiry Date

First Name | Last Name

Street Address Email

$ $ $

Credit Card Number (16 digits)

City Prov PC Phone

MC Visa Amex

Circle type of card Expiry Date

First Name | Last Name

Street Address Email

$ $ $

Credit Card Number (16 digits)

City Prov PC Phone

MC Visa Amex

Circle type of card Expiry Date

First Name | Last Name

Street Address Email

$ $ $

Credit Card Number (16 digits)

City Prov PC Phone

MC Visa Amex

Circle type of card Expiry Date

First Name | Last Name

Street Address Email

$ $ $

Credit Card Number (16 digits)

City Prov PC Phone

MC Visa Amex

Circle type of card Expiry Date

First Name | Last Name

Street Address Email

$ $ $

Credit Card Number (16 digits)

City Prov PC Phone

MC Visa Amex

Circle type of card Expiry Date

First Name | Last Name

Street Address Email

$ $ $

Credit Card Number (16 digits)

City Prov PC Phone

MC Visa Amex

Circle type of card Expiry Date

Register to fundraise online and receive your own fundraising page! www.kidneybike.ca

DONATIONS TOTAL

Thanks to you! Cash =

REGISTRATION

Pre-Kidney Bike Fundraising Event Ideas

• Bake & Book Sales

• Burger Pub Night

• Bottle Drives

• Car Wash

• Dance Events

• Fitness Challenges/Marathons

• Garage Sale

• Theme Parties

• Host a Dinner or Wine Tasting

• Bike In Movie Night

• Poker Ride

• Progressive Dinner Bike Ride

How to raise $300 in 5 days? Day 1 - get the ball rolling and spon-sor yourself with the first $25 Day 2 - ask 3 of your family members to sponsor you for $25 each Day 3 - ask 5 friends to sponsor you for $10 each Day 4 - ask 10 of your colleagues to sponsor you for $5 each Day 5—Ask your employer to donate $100 or match total funds raised

You make a

decide on a great team name.

Spread the word, collect your pledges

and ride as a group!

The Kidney Foundation of Canada,

@kidneybc

THE KIDNEY FOUNDATION OF CANADA,, BC & YUKON BRANCH

Sunday, July 16, 2017

Lower Seymour Conservation Reserve

(Lower Seymour Trailways)

8 am - Check In

9:30 am - Start

Register Online at www.kidneybike.ca

Limited Space Available

We encourage all riders to Ride SMART.

STAY ALERT

Watch for bicyclists, pedestrians and hazards.

Do not wear earbuds or use phones while

riding.

MAINTAIN SPACE

Leave enough room in front of you to

avoid other riders and hazards.

ACT SAFELY AND PREDICTABLY

Wear a properly fitted helmet. Make

sure you can see and be seen. Ride in a

straight line and only pass on the left.

Be courteous.

RESPECT THE RULES OF THE ROAD

Ride no more than two abreast (single file is

safer) and yield right-of-way

when appropriate.

THINK AHEAD AND TALK

Scan ahead and anticipate what others

will do. Communicate actions and

hazards, tell others when passing.