Volunteer Registration This form is specifically for volunteers willing to help at the Ride and Pre-Ride Dinner. If you have a special skill that you would be willing to share at various times throughout the year, (graphic design, website, newsletters, bookkeeping, etc) please send an email to firstname.lastname@example.org. OUR VOLUNTEERS ARE THE MACHINE THAT KEEPS THE RIDE RUNNING! THANK YOU FOR JOINING OUR RIDE FAMILY! Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Enter Email Confirm Email Phone Is someone you know riding this year? Yes No Name of Rider Are you a returning volunteer? Yes No I'm interested in helping with…(check all areas where you would be willing and able to help) Set up Friday afternoon (canopies, tents, tables, etc) Set up very early Saturday morning (supplies) 10 Mile Rest Stop 30 Mile Rest Stop 50 Mile Rest Stop 100 Mile Rest Stop General help at the Ballpark on Ride Day Morning General help at the Ballpark on Ride Day Afternoon SAG Vehicle (provide assistance along routes) Bike Mechanic (basic skills to help along route or at Ballpark) Photos (I’m a professional or quite experienced) Photos (Amateur, prefer along routes) Photos (Amateur, prefer to stay at ballpark) Entertainment (music, face painting, kids games, etc) Pre-Ride Dinner (Friday Evening) Use me wherever I can be most helpful UNE MEDICAL STUDENT – REST STOP UNE MEDICAL STUDENT – BALLPARK You will be contacted regarding specific available assignments the month before the ride. Thank you! What size unisex t-shirt would you like?* Small Medium Large X-Large XXL Comments: Consent* I Agree. By agreeing to volunteer at the New England Parkinson’s Ride event, I understand the intent thereof, and I, for myself, my heirs, executors, and administrators, hereby agree and will absolve and hold harmless the New England Parkinson’s Ride, The Ballpark at Old Orchard Beach, ME, the Towns of Old Orchard Beach, Saco, Biddeford, Dayton, Sanford, Kennebunk, Kennebunkport, and Scarborough, ME, the University of New England, the Michael J. Fox Foundation, corporate sponsors, cooperating organizations, all rest stop locations, and any other parties connected with this event from and against any blame and liability from my participation as a volunteer for the New England Parkinson’s Ride and any activities associated herewith. I hereby attest that I am physically and mentally capable of handling the duties for which I have volunteered and consent to and permit emergency treatment in the event of injury or illness. I also give full permission for the use of my name and photograph in any materials produced by the New England Parkinson’s Ride. I acknowledge that I am not employed by the New England Parkinson’s Ride and will receive no compensation for my participation in this event. Name This field is for validation purposes and should be left unchanged.