Wufoo

Worksite Registration

Enter your Worksite Information here. Get your site on our books and prepare your folks to Ride their Bikes!

Select your worksite from this list or select "New Worksite" and complete the next box.

Press the first letter of your worksite to skip to that part of the list. Select your worksite from the list or select "New Worksite" and fill in that worksite name in the next box below. Note that school staff and students register separately.
New Worksite name

If your worksite (or school) is a subdivision of a larger entity, please indicate that here with the following format: "Big Company""Subdivision". (ex. "FMC 13th Floor Nurses"). This doesn't affect the results of the challenge, it only helps us report group results.
Coordinator Name (First & Last) *

Please enter a name to associate with this worksite coordinator.
Coordinator's Email *

Please enter your email address here. FBO will be sending out Worksite Challenge updates to the email address you provide here.
Worksite physical address *

Please enter the street address or building name & room # where this office is located.
City *

We're assuming you are in Arizona, indicate if not.
Mailing Address if different
Zip Code *
Worksite Size you will be competing in: *
40 or more: Large 11 to 39: Medium 4 to 10: Small 3 or less: Nano

Choose your Worksite Size. You need a minimum of that many employees averaged over the week of the challenge. The 2 larger catagories qualify for the Breezer Bicycle. No cherry picking!
Total Worksite/ Subdivision Population
This includes all of your worksite's employees no matter how they get there. --This will probably be more than the number of employees that report each day of the Challenge in May. *

Enter the total population of the worksite/ subdivision that your are representing here. FBO will use this information for statistical purposes only. It will NOT be used in calculations for the Worksite Challenge. Hint: try your work directory for an estimate.
How many people from the above total do you expect will cycle to your work site? *

Give us an idea of how many folks could potentially bike at your worksite. Your FBO worksite information packet will also be based on this number. Hint: Check the bike rack or scan offices for bikes.
How many of the total do you expect will walk, ride the bus, or take other human powered transportation (don't include cyclists in this number) at your work site? *

These non-drivers will count as deductions from your worksite total during the challenge, and boost your BTWW participation percentage.
If you are interested in receiving a worksite package (poster, schedule, stickers, road rules...), please e-mail BTWW@flagstaffbiking.org.
Do Not Fill This Out