The Major MN River-to-River Ride

Bike for a
cause with
MotoX champion
Ryan Dungey.

target

Target Team Member Sign-Up

Title:
First Name: *
Middle Name:
Last Name: *
Suffix:
Gender:
Desired Name for your St. Jude Fundraising Page www.mystjudeevent.org/
Address (Line 1): *
Address (Line 2): Apt:
City: *
State / Province: *
Zip / Postal Code: *
Target E-Mail Address: *
Phone Number: (555-555-1234)
Date of Birth: (mm/dd/year)
Emergency Contact Name: *
Emergency Contact Phone: *
Route: *
T-shirt Size: *

Yes, I would like to receive an e-mail when a donation is made on my behalf.

I agree and acknowledge that I am participating in a St. Jude program. I expressly assume those risks and agree to release, officers, directors, volunteers, employees, all sponsoring businesses, and organizations from any and all liability, claims, demands and causes of action arising out of my participation related activities whether it results from the negligence of any of the above or from any other cause.

I have read, understand and agree to the terms of this Agreement.

I agree to the terms above. *

Target Employee Number *

Free registration is valid for Target Team Members only. Family and friends should sign up through St. Jude Children's Research Hospital^® here.