Please bring this with you Sunday, May 17th to the Bike-a-thon with your cash and checks. OR
fundraise online on our page! http://mskcc.convio.net/goto/KaneStreetBikes
All checks should be made out to Memorial Sloan Kettering
5 MILE RIDE Donate 20¢ per mile - $1 Donate $1 per mile = $5
Donate $2 per mile = $10 Donate $4 per mile = $20 Donate $5 per mile = $25
Kane Street Bikes to Beat Kids’ Cancers Sunday, May 17
Fill in your name here _____________________________________________
First name
Last name
Email
Phone
Pledge
amount
Total
Amount
Collected

Pledge
collected
Cash
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Check
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REGISTRATION FORM
KANE STREET BIKES
TO BEAT KIDS’ CANCERS
SUNDAY, MAY 17
The ride, for kids and adults, starts at Kane Street Synagogue, 11am promptly
Sunday, May 17. We will ride to Grand Army Plaza/Prospect Park and then to
Pier 5/Brooklyn Bridge Park for a picnic lunch. That is 5 miles. All riders must
sign the waiver and wear a helmet. Children in 2nd grade and older may ride.
Children younger than 5th grade MUST ride within sight distance of a cycling
adult. We also need ground crew kids and adults to help at the start, meet us
at Brooklyn Bridge Park and help set up the picnic.
Kids’ Cancers receive only 4% of the
national research budget. Be a part of
the solution by donating – right now
private philanthropy is the only way
to increase funding.
PRINT YOUR NAME: ______________________________________
YOUR SIGNATURE: _______________________________________
If under 18 years of age – your parent’s name and signature:
__________________________________________________________
Check one [ ] I will ride my bike [ ] I will be on ground crew
A CELL PHONE # YOU WILL CARRY THAT DAY: ____________
AN EMAIL WHERE YOU CAN BE CONTACTED:
______________________
Please return this registration and your waiver to Rabbi Valerie
Lieber the day of the ride.
Students in grades 6 and 7 and their families are Biking To Beat Kids’ Cancers,
May 17. We start from Kane Street Synagogue 236 Kane Street at 11am.
We invite all other bikers to join us.
Please encourage your donors to give online
directly http://mskcc.convio.net/goto/KaneStreetBikes
We have a goal of raising $2,000 for Pediatric Cancers at Memorial Sloan
Kettering Cancer Center.
For more information, please contact Rabbi Val at [email protected] or 718-875-1550.
We will be ending at Pier 5 in Brooklyn Bridge Park and invite you to meet us
there at 12:15pm as we conclude and enjoy a picnic.
Rain Date only if very rainy: Sunday, June 7