Bikepacking Roots · MidAtlantic Bikepacking Summit Participant Registration

Please submit one form per participant.

Name *

First Name

Last Name

Email *

Verify Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Age *

What are your preferred pronouns?

He/Him

She/Her

They/Them

Something Else

How much bikepacking experience do you have? *

I've never been!

I've been out at least a few times

I've got quite a bit of experience

What are your goals for the summit? (Check all that apply). *

To have fun.

To build community.

To ride somewhere new.

To gain bikepacking experience.

Other

For how much of the event are you planning to join us? (Check all that apply) *

We encourage folks to join for the full weekend, but please let us know your plans if you have constraints.

Camping at the Summit in Confluence Friday August 23rd

Camping at the Summit in Confluence Saturday August 24th

Joining an overnight bikepacking trip Sunday - Monday

Joining day rides Friday

Joining day rides, Expo & Summit on Saturday

Joining day rides Sunday (if you want to join a ride with a group Sunday, but can’t stay to camp, we can work out a route option)

Which overnight bikepacking option are you most interested in joining? *

A first-timers and beginner-friendly trip

A women, trans, femme, nonbinary & gender expansive only trip (beginner level)

A women, trans, femme, nonbinary & gender expansive only trip (intermediate-advanced level)

A women, trans, femme, nonbinary & gender expansive only trip (any level)

Intermediate/advanced - longer distance, primarily gravel riding

Intermediate/advanced - including some more technical singletrack riding

Are you considering extending your bikepacking adventure by biking to and/or from the event? *

Yes

No

If so, please share where you are planning on biking from and if you are interested in being put in touch if other people are considering a similar trip.

Do you need to borrow any bikepacking gear or other gear?

We have a number of bikepacking bags that will be available to borrow for the overnight trip. Please share your potential needs.

An agenda for the weekend and more information about the Summit is available on our website. If you have any further questions for us that may help you prepare for the Summit, please let us know.

Do you have any medical conditions or history that we should know about? *

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact Relationship *

Is there anything else we should know?

Participant Agreement *

I am at least 18 years of age, or will be participating with a parent or guardian.

I am willing to sign a liability waiver linked below.

Liability Waiver

Please Sign the Waiver Here

Bikepacking Roots is committed to promoting bikepacking events that are accessible to all.

If you have the means, we are gratefully asking for a suggested sliding-scale donation of $25-75 for participation in this Summit. This will help cover camping fees and other event costs and allow us to continue to host more community building events like this in the future.

Donation Amount

$

If you aren't already a member of Bikepacking Roots, registering for this event will add you to our mailing list. We'll send you occasional updates about our work. We won't share your information with anyone else.