Adapt2play

Join us for a scenic group ride every Wednesday and Friday at the Seabreeze Amphitheater in Carlin Park (West Side), Jupiter, FL! All levels and abilities are welcome, including both handcyclists and cyclists. We have a limited number of handcycles available—please reserve yours with Jacqui at least two days in advance.
Arrival Time: 7:00 AM
Pedals Up: 7:30 AM
What to Bring:
SGU Jersey
Bike Helmet
Safety Flag (for handcycles)
Spare Tube
Hydration/Electrolytes
Anything else you may need (e.g., sunscreen, sunglasses)
Enjoy the camaraderie and beautiful ocean views as we ride together along Jupiter Beach. Please arrive prepared and ready to ride!
Check our Event Calendar for updates and details.
Questions or handcycle reservations?
Contact Jacqui Kapinowski
(561) 831-8887 ([email protected])

Multi-Sports Registration Form







Personal Information

First Name *



Last Name *

Address *

City *



State *

Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming



ZIP Code *

Phone Number *



Date of Birth *

Demographics

Gender *


Male



Female



LGBTQ+




Race/Ethnicity

Select (Optional)
White
Black or African American
Hispanic or Latino
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Two or More Races
Other

Disability Information

Do you have a disability? *


Yes



No

Date of Disability




Is disability service related?


Yes



No

Disability Details

Place of Injury

Military Information

Are you a military veteran?


Yes



No

Branch of Service

Select Branch
Army
Navy
Air Force
Marines
Coast Guard
Space Force
Other




Service Period


Pre 2001



Post 2001

Assistance and Mobility

Require a guide

Type of assistance needed

Mobility aids used:




Push Rim





HC





WC





AMB





AMB-Other





Cane





Crutches





Prosthetics





Other

T-Shirt Information

T-Shirt Size *

Select Size
XS
S
M
L
XL
XXL
XXXL



T-Shirt Style

Select Style (Optional)
Men's
Women's
Unisex

Emergency Contact

Emergency Contact Name *



Emergency Contact Phone *

Waiver and Legal Agreement

Waiver and Release of Liability
I know that participating in Shifting Gears United athletic events is potentially hazardous. I agree not to enter any Shifting Gears United race, activity, or sponsored event unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the activity. I assume all risks associated with participating, including, but not limited to: falls, contact with vehicles, other participants, spectators, or others, the effect of the weather, including high heat, extreme cold and/ or humidity, traffic conditions of the road, all such risks being known and appreciated by me.

Having read this Waiver and knowing these facts, and in consideration of your accepting my application, I, for myself or for my child and anyone else entitled to act on my behalf, waive and release, and agree to indemnify and hold harmless Shifting Gears United to which I belong (including directors, officers, leaders, members, athletes, volunteers, guides), the local county and city departments of Parks and Recreation, all sponsors of Shifting Gears United and any of their races or events, members and volunteers, from present and future claims and liabilities of any kind, known or unknown, arising out of my participation in any Shifting Gears United event or related activities, even though that liability may arise out of ordinary negligence or fault on the part of the persons named in this Waiver. By registering for a Shifting Gears United or any other race though Shifting Gears United, I hereby grant my permission to Shifting Gears United to act as proxy on my behalf for that race with full authorization to execute consents, waivers and releases included in the Shifting Gears United registration. I further grant my permission to all the foregoing to use photographs, motion pictures, recordings, or any other record
of my participation in Shifting Gears United for any legitimate purpose, without remuneration. I have read this waiver and agree to the terms.


Initial Here *







Safe Sport Acknowledgement
I understand that (1) participation with Shifting Gear s United is strictly voluntary, and (2) I a monthly to receive/provide running companionship, advice, and encouragement from my fellow Shifting Gears United athletes/volunteers/guides. If anything, else is asked of me, or if I am otherwise uncomfortable or concerned, I will bring it to the immediate attention of the Shifting Gears United President.


Initial Here *










Printed Name *



Digital Signature (Type your full name) *

By typing your name here, you acknowledge that this serves as your electronic signature.

Parent/Guardian Information (Required for participants under 18)

Parent/Guardian Name



Parent/Guardian Digital Signature

Witness Information (Optional)

Witness Name



Witness Digital Signature

Submit Registration

Registration Status






Close
New Registration