Motorcycle Rover App - Christian Encounter Ministries

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Motorcycle Rover (2017)

Please use this form to sign up to be a Motorcycle Roving Sagger only (checking on riders on the course using your motorcycle). To volunteer as a Stationary Sagger at Loyalton, Vinton, or Beckwourth use the Stationary Sagger form. Te serve as a Transport Sagger, moving bags and gear between stations with your vehicle, use the Transporter form.

* Indicates required field

Name *

First

Last

Age 25 or older* *

Yes No

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone home *

Phone cell *

Phone work *

Best days/times to reach me: *

Best phone to reach me: *

Home Cell Work

2nd best days/times to reach me: *

2nd best phone to reach me: *

Home Cell Work

In case of emergency contact (name/phone): *

This is my first time as a Motorcycle Roving Sagger. *

Yes No

Motorcycle brand and size *

Motorcycle volume *

Quite Moderate Loud

Motorcycle insurance company *

Motorcycle riding experience: *

Novice Experienced Very Experienced

I have medical training *

Yes No

Level of medical training *

I have helped with a similar event *

Yes No

I will have my cell phone with me *

Yes No

I plan to bring a passenger age 18 or older with me *

Yes No

Passenger's name *

I can help at the following times: *

I can help as needed I can cover one 4-hour night shift 1st 4-hour shift (Fri. 1-5 p.m.) 2nd 4-hour shift (Fri 5-9 p.m.) 3rd 4-hour shift (Fri 9 p.m. to Sat 1 a.m.) 4th 4-hour shift (Sat 1-5 a.m.) 5th 4-hour shift (Sat 5-9 a.m.) 6th 4-hour shift (Sat 9 a.m. to 1 p.m.)

T-Shirt size *

Small Medium Large X-Large 2X 3X 4X

I understand I may not bring anyone under the age of 18 to this event (except riders age 16 or 17). *

Yes No

I understand I will be providing SAG support for all riders. *

Yes No

I understand I will be asked to sign a Waiver of Liability at the event. *

Yes No

Submit

SERVICE TIME:
Sundays @ 9:30 am

OFFICE HOURS:
M-F: 9:00 am - 4:00 pm

CONNECT:
p: 530-268-0877 | f: 530-268-9077
email us
PO Box 1022 Grass Valley, CA 95945

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