Sign Up Freshman Bike Program Name: Email Address: Phone: Hometown: In which residence hall will you be living on campus? If you win a bike, will you agree not to bring a car to campus? If you win a bike, will you agree not to bring a car to campus? Yes No Do you currently own a bike? Do you currently own a bike? Yes No If yes ... What type of bike is it? What type of bike is it? -Select Type-Road BicycleCyclocross BicycleTouring BicycleTriathlon/Time Trial BicycleFlat-Bar Road BicycleTrack/Fixed-Gear BicycleMountain BicycleHybrid BicycleCruiser BicycleFlat-Foot Comfort BicycleBMX BicycleFolding BicycleRecumbent BicycleI do not currently own a bicycleOther… What type of bike is it? Enter other… Do you plan to bring it to campus? Do you plan to bring it to campus? Yes No N/A If you win,do you agree to complete the required 2-one hour clinics during first two weeks of school in order to receive the bike? If you win,do you agree to complete the required 2-one hour clinics during first two weeks of school in order to receive the bike? Yes No If you win, will you agree to report your mileage biked at the end of each semester? If you win, will you agree to report your mileage biked at the end of each semester? Yes No Why are you interested in this program?