Team Leader's Name:

The Team Leader is in charge of

• registering the company
• encouraging co-workers to participate
• submitting commute tracking sheets
• distributing  T-shirts

We’ll help you out with reminders and suggestions! (See Tip Sheet)

Address:  

City  Zip

Phone:  

Email :

Organization/Company Name: 

Number of employees at company in the Jackson area:

How many posters advertising the event do you want us to drop-off for your company?

Joining the Smart Commute is free for teams and individuals (limited t-shirt availability).  We are asking for a $25 registration fee to enter the Corporate Challenge and compete for a place on the Smart Commute bike rack trophy. The entry fee to cover costs of the Corporate Challenge bike rack trophy.  
Will your team compete in the Corporate Challenge? yes  no

The following questions are for you, as Team Leader to answer as an individual. You will not need to complete another individual registration form.

There will be free breakfast offered at the following locations. Check which you plan to attend:
Nixon Park     Sharp Park   Pedal and Tour (downtown)    None
(Nixon and Sharp Park breakfast stands will be located in parking areas near the swimming pools)

Will you attend the Smart Commute Day Lunch Party?  yes    no
The Lunch Party will take place from 12pm to 1pm at Bucky Harris park at the corner of W. Michigan and Jackson St.  Free lunch from Lenny’s, prizes, and the presentation of the Jackson Coffee Commuter Cup!

Inter-City Trail Leader Ride.  As part of the Smart Commute celebration, we are inviting you to join Jackson community leaders for a morning bike ride on the Inter-City Trail to support trails in our community. We will meet at the Weatherwax parking lot at 7:30am for refreshments and, at 8:00am, ride at two miles to the CMS campus. Would you like to ride along? Yes         No

How many miles roundtrip will you be commuting? (by bike, foot, or transit)

How are you smart commuting?   Walk      Bike      Transit

Are you a first time smart commuter? Yes         No

T Shirt Sold Out! 
We gave away 750 free Smart Commute T-shirts this year and we have run out.
Please register to join the Smart Commute.  You can pre-order a t-shirt for $5 by calling the Fitness Council at 517-990-9798.

How did you hear about Smart Commute Day?  At work     JTV        Weather Channel,     Radio
Mailing     Other

This year we will have events each month of the summer.  Which events are you interested in attending?

Submitting this form means you accept the following. I hereby state that I am in good physical condition and able to safely participate in this event. I am aware of the inherent risks in participating in an event of this type and for myself, my heirs, executors, and administrators, waive and release any and all rights and claims for damages I may have against the Fitness Council of Jackson or sponsors arising as a result of my participation in Smart Commute Day. I also authorize permission to all the foregoing to use any photographs of my participation in the event for any legitimate purpose.

Note: Once the team captain has registered the business as a team, each member
must register as an individual! Individual team members can register at any time.