Habitat for Humanity of Lafayette

 

 

 

 

We ride through Indiana

to build homes, community and hope!

 

May 4-6, 2019 TASTE of the Cover

May 4-10, 2019 Cover Indiana

 

 

 

Cover Registration

Quantity
Price
Total
Cover Indiana Student Registration (7 Days)
X
$
100.00=
$
0

Cover Indiana General Registration (7 Days)
X
$
280.00=
$
0

Taste of Cover Student Registration (3 Days)
X
$
50.00=
$
0

Taste of Cover General Registration (3 Days)
X
$
100.00=
$
0

Final Total:
$
0

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*
Which days will you be joining us?
  • Taste of Cover (Saturday May 4 - Monday May 6)
  • Saturday May 4
  • Sunday May 5
  • Monday May 6
  • Tuesday May 7
  • Wednesday May 8
  • Thursday May 9
  • Friday May 10
If you are joining us mid-week, when are you arriving?
  • I'll be there the night before for dinner
  • I'll be there the night before after dinner
  • I'll be there for breakfast
I will need to stay at Junction House on...
  • Friday Night May 3
  • Friday Night May 10
I will need transportation from Indianapolis back to Lafayette on Friday May 10.
  • Yes
  • No
  • Maybe
I would like my donation to go to Habitat for Humanity of*
  • Lafayette
  • Purdue
  • Indianapolis
  • Evansville
  • Martinsville
  • Monroe County
  • Montgomery County
  • HFH of Kokomo Community
  • Other (Please Specify in the Account Question)
Specific Account or Build (optional)
I would like to volunteer and help the ride by
  • Serving as a sweep rider
  • Providing a meal
  • Helping prepare a meal when I get done riding
  • Bringing tools or a repair stand
  • Leading a training ride for riders in my city
  • Hanging posters at my business, school, bicycle shop, or church
  • Helping with registration
  • Cleaning up the host after breakfast
  • Writing a blog post recapping a day on the ride for the website
  • I'd like to give a presentation at my organization by myself or with Habitat staff
  • My spouse would be interested in volunteering while I ride
  • Letting other participants know I am CPR or First Aid certified
  • Please contact me so I can learn other ways to get involved
Anything else you would like to let us know?

 

 

eSignature*

Emergency Information

Emergency Contact Name*
Emergency Contact Phone*
Do you have any dietary restrictions?
Any medical information we should know in case of an emergency?

Payment Information

Amount*
$
Name on Card*
Card Number*

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