Name:

Address:

City   Zip

Phone:  

Email :

Employer Name: Select Employer Adco Products American 1 FCU Anderson Printing City Of Jackson Classic House Works Consumers Energy CP Federal Credit Union Eaton Corp Fitness Council of Jackson Foote Health System Jackson Christian School Jackson County Jackson Non Profit Support Center Jackson Public Schools Jackson Transportation Authority Jackson Farm Service Agency JCEG Lennys Sub Shop LifeWays Lily Missions Center Nomad Bookstore Office of State Senator Mark Schauer On Two Wheels Orthopaedic Rehab Paragon Charter Academy Pedal and Tour Spring Arbor Free Methodist Church St. Marys School Toy House

Don’t see your employer on the list? If you want to compete in the Corporate Challenge a team captain will have to register your team here Team Captain Registration

If you’d like to register as an individual without team simply write your employer here: 

A group of commuters will celebrate Smart Commute Day by riding into Jackson from Concord on the new Falling Water Trail.  They will be leaving Concord at 7:30am. The trail is beautiful in the morning.  This could be your best commute of the year! You can also meet up with the group where the trail crosses Lime Lake at around 8:00am. Would you like to ride along? Yes         No

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 Smart Commute trophy!

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

How are you smart commuting?   Walk      Bike      Transit

Are you a first time smart commuter? Yes         No

Sorry, We are out of T Shirts !

How did you hear about Smart Commute Day?  At work     JTV        Newspaper     Local race
Fitness Council newsletter/mailing     Other

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.