2018 Team Captain Information
Saturday, March 10, 2018 • Noon–4:30 pm • The Lakes Mall
Questions?
Call: (231) 672-6976
Fax: (231) 672-6707
Email: [email protected]
Website: www.mercyhealthmuskegon.com/theride
Facebook: www.facebook.com/MercyHealthGiving
Mercy Health
Office of Philanthropy
1500 E. Sherman Boulevard
Muskegon, MI 49444
Responsibilities for TEAM CAPTAIN
 Recruit eight team members. Determine your Team Name. Determine the order
(heats #1 through #8) team members will ride. Send in the completed Team
Registration Form by Monday, February 19, 2018. We encourage you to make your
reservation as soon as possible as Team Reservations are limited to 60 teams.
 Distribute a Rider Packet to each team member. Review the important dates with
each team member (page 3 in the Rider Packet). If applicable, collect entry fees
for each team member.
 Select one bike from the team to be used at the event. (Teams must provide their
own bike. We provide the trainer.) Bike must be delivered to Rider Registration at
The Lakes Mall on Friday, March 9th between the hours of 2:00 PM and 7:00 PM.
Please make sure the bike selected is in good working order so it can withstand four
hours of riding. See page 5 in the Rider Packet for more details. (Please remember:
Top gear ratio allowed is 53/12. Illegal gear rations will be changed by Bike
Marshals.)
 Determine if team will be decorating the 4x6 carpet square and/or bike. If so,
coordinate the decorating the evening of Friday, March 9th. Bikes are to be
registered between 2:00 PM and 7:00 PM, and will be mounted on the trainer on a
first come, first served basis. Decorating can begin once the bike has been
mounted on the trainer and placed on the carpet square. Decorating will be
allowed until 8:30 PM. No decorating is allowed on race day. Due to fire hazard and
limited access, use of an electrical OUTLET IS NOT guaranteed. Please plan
accordingly. If you create a fire and/or tripping hazard you may be asked to
unplug from the outlet. Please contact the Office of Philanthropy at 231.672.6976 if
you have questions.
 When paying for an individual team, the team captain is responsible for securing
and submitting the team registration fee by Friday, March 9th. (Ask individuals or an
area business to sponsor your team.)
 Ensure that each team member submits their signed Release Form. Please return
signed Release Forms by Friday, March 9th to: Mercy Health, Office of Philanthropy,
1500 E. Sherman Boulevard, Muskegon, MI 49444; or by fax to:
(231) 672-6707; or by email: [email protected]. All riders must sign the
Release Form to participate.
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Team Registration Form
RETURN THIS FORM BY FEBRUARY 19, 2018
Mail to: Mercy Health, Office of Philanthropy, 1500 E. Sherman Blvd, Muskegon, MI 49444
Or send by fax to: (231) 672-6707 Or email to: [email protected]
Team Name: ___________________________________________________________________
Team Captain: __________________________________________________________________
Company Represented: _________________________________________________________
(If applicable)
Address: _______________________________________ Phone: ________________________
Team Captain’s Email address: ___________________________________________________
Please select a division for your team.
 Co-Ed (Minimum 4 women on team)
 All men’s team
Heat
 Mixed (3 or less women on team)
 All women’s team  All youth team (16 years and under)
Name of Rider
M/F Shirt Size (Must receive sizes by 2/20/18)
Unisex: (YS, YM, YL, S, M, L, XL, 2XL, 3XL)
(Please PRINT legibly)
#1
____________________________________
______
______
(Heat #1: 12:00 N – 12:25 PM)
#2
____________________________________
______
______
(Heat #2: 12:30 PM – 12:55 PM)
#3
____________________________________
______
______
(Heat #3: 1:00 PM – 1:25 PM)
#4
____________________________________
______
______
(Heat #4: 1:30 PM – 1:55 PM)
#5
____________________________________
______
______
(Heat #5: 2:00 PM – 2:25 PM)
#6
____________________________________
______
______
(Heat #6: 2:30 PM – 2:55 PM)
#7
____________________________________
______
______
(Heat #7: 3:00 PM – 3:25 PM)
#8
____________________________________
______
______
(Heat #8: 3:30 PM – 3:55 PM)
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2018 Team Payment
Entry Fee: $400.00 ($50/rider)
Entry Fee for Youth Team: $200.00 ($25/rider)
Submit registration before Wednesday, January 31, 2018 and save $50 off registration fee.

Enclosed is my check for Team Registration.
Please make checks payable to Mercy Health.

Please send me a bill.
Name ____________________________________________________________________________
Address __________________________________________________________________________
City/State/Zip _________________________________Phone______________________________

Please charge my credit card.
 Visa
 Mastercard
 American Express
 Discover
Name ____________________________________________________________________________
Billing Address _____________________________________________________________________
City/State/Zip____________________________________Phone___________________________
Card Number: _________________________________________________ Exp. Date:________
Signature (required) _______________________________________________________________

I would like to receive information about The Ride Sponsorship opportunities. Please
contact me at ________________________.
Please mail this form (or send by fax: 231-672-6707) by February 19, 2018.
Mercy Health
Office of Philanthropy
1500 E. Sherman Blvd
Muskegon, MI 49444
Questions? Contact Amber Wallace, in the Office of Philanthropy at (231) 672-6976
or [email protected].
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