Name:
Email Address:
Experience Level
Current
cycle commuter; SIGN ME UP as a Buddy so I
can help someone start commuting by bike.
NEW
to bicycle commuting; FIND ME a Buddy who can
help me start commuting by bike.
Home Information (For Matching Purposes ONLY)
Address:
City:
State:
Zip Code:
Home or Mobile
Phone Number:
Employment Information
Employer:
Work Address
(please include building name if applicable):
Work City, State,
Zip:
Work Phone:
Commute Information
Time you leave home
(or would want to leave)
to cycle to work:
AM or PM
AM
PM
Time you leave work (or would want to leave)
to cycle home:
AM or PM
AM
PM
How
many days do you typically commute by bike each week?
* OR* How many days are you interested in
commuting by bike.
To help us
match new and experienced bicycle commuters, please provide
some general information about your current Cycle Commute Route OR
the route you are most interested in learning about from a Bicycle
Buddy. :
Example:
“My cycle commute route is Brookline to World Trade Center. I
typically use Beacon Street, Comm Ave and come through downtown
Boston. I leave my house around 7:00am and leave WTC around
5:30pm.”
Referred by:
Terms of Agreement for Bicycle
Buddy Program (Please check each box on the left below)
I
request to participate in the Seaport TMA's Bicycle
Buddy Program .
I
understand that only my general route information will be
posted online and that my personal
information will be.
I
hereby release the Seaport TMA from any liability, claims and demands for
personal injury, loss, theft or damages to my personal
property, loss of income, consequential damages
resulting from delays or absence of service provider,
or termination of the program.
Furthermore, I understand that incorrect use of this
program may result in
restriction from participating in the program.