Instructions for Completion:

• All fields in Red are required
• If your event begins and ends on the same day, enter the same date in the Event Start Date field and the Event End Date field.
• If you select "Other" for the Event Type, please use the text field immediately below to describe your event
• If you are experiencing technical difficulties with this form, please contact the Madison office of the BFW at (608) 251-4456

Please complete all required fields.

Event Start Date and Time (format: mm/dd/yyyy hh:mm)

Event End Date and Time (format: mm/dd/yyyy hh:mm)

Event Name

Event Type Road Ride Off-road Ride Multi-day Road Ride Multi-day Off-road Ride Road Race Off-road Race Road Time Trial Off-road Time Trial Multi-sport Event Weekly Club Road Ride Meeting Class Special Event Trail Building Other (Please specify below)

Enter event details (for event types classified as 'Other')

Event Website

Your e-Mail Address (for confirmation purposes)

e-Mail Address of the event or event organizer

Event Description

Event Sponsor

Event Location (Please specify the general starting location of your event, i.e. City Park, West High School parking lot, etc)

Event Address

City

State

ZIP

Phone #

Enter characters shown at left (reduces spam)