Bike Brookfield 2022

First Name:

Last Name:

Are you over the age of 18?

Home Address:

City:

State:

Zip Code:

For riders under the age of 18, please provide the following information for a parent or guardian.

Contact Email:

Contact Cell Phone
(Must use XXX-XXX-XXXX format):

T-Shirt Size:

By clicking on the button below, you agree that the information provided above is correct and that you agree to follow the rules of Bike Brookfield Week. Once you click below, you will be registered and you will be sent via text message a confirmation of your registration with your rider number. Please save this information for future use.