Riders

Ability Level: Assisted Device *

Ability Level: Wheelchair *

Shirt Size *

Birth Date *

An ATHLETIC RIDER is anyone with a physical of developmental disability who would love the opportunity to experience the thrill of a road race with a team of runners pushing them.

Waiver Form

Become aN athletic Rider, Online Form

Team Hoyt Canada - Athletic Rider Application

Team Hoyt Canada

Please list any other details such as history of Seizures, special assistance for incontinence during the race event, special feeding details and/or any other medical or phsycial issues that we should be aware of? *

Ability Level: Transfers *

Emergency Phone Number *

If under 18: Name of Parent/Guardian/Trustee

Emergency Contact Name *

Please list your height and weight as this is required to ensure that we match riders to the appropriate racing equipment. Please also list primary diagnosis/injury. *

Subject: *

Email: *

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City *

Postal Code *

Name: *

Sex *

Province: *

Phone *

Waiver Form *

Yes, I have read, understood and agree to abide by the terms and conditions of the waiver.

Health Details

Emergency Contact Info

I would like to paricipate in the following races: *

Brain Tumour 5km Walk

St. Clair River Run 5km

Bluewater Granfondo 50km Ride

Light Up The Night Race - 5km

Pinery Fall Classic - 5km

I wish to participate as a Athletic Rider as a: *

Address *

Athletic Riders

Athletic Riders are the focal point of every team. They are paired with Riders who will ensure their goal is accomplished.

Participation in a Team Hoyt Canada event is 100% cost free for Athletic Riders – we provide all the equipment, sponsor the entry fee, provide a team uniform and also present a medallion to each Athletic Rider after the event in celebration of their accomplishment.

If you, or someone you know, would like to be an Athletic Riders please fill out the form below.
Inquiries or questions regarding the application can be emailed to: info@teamhoytcanada.com