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Please enter the text shown in the image into the field below.
Please check the box if you are interested in encouraging others from your religious community to participate in Ride to Worship Week. (ARRCC will email you some materials to assist.)
--Please select WHICH DAY you will be participating in Ride to Worship Week--
Friday 7th October
Saturday 8th October
Sunday 9th October
Monday 10th October
Tuesday 11th October
Wednesday 12th October
Thursday 13th October
Name of your religious community:
Your email address:
Your name:
FRIDAY 7TH TO THURSDAY 13TH OCTOBER 2011
Registering for Ride to Worship Week will ensure we can send you support resources and will help us to evaluate the event. Please complete all fields below, and click "next".
Register for Ride to Worship Week 2011
--Please select HOW FAR you will be riding to worship--
Less than 5 kilometers
Between 5 and 10 kilometers
Between 10 and 15 kilometers
Between 15 and 20 kilometers
More than 20 kilometers
I will not be riding, but will be walking, lift sharing, or catching public transport
ARRCC anticipates emailing you a couple of times in relation to Ride to Worship Week, before and after the event. We will not use your email address for any other purpose. Please check the box if you are happy to be contacted.
--Please select YOUR AGE from the range below--
Less than 18 years old
18-30 years old
31-40 years old
41-50 years old
51-60 years old
61-70 years old
More than 70 years old
--Please select HOW OFTEN YOU CURRENTLY ride to WORSHIP--
Never
Once or twice a year
Several times a year
About once a month
About once a week
--Please select HOW OFTEN YOU CURRENTLY ride in your EVERYDAY LIFE--
Never
Once or twice a year
Several times a year
About once a month
About once a week
Most days
--Please select whether you are registering as an INDIVIDUAL or as a GROUP--
As an individual
As a family/household
As a religious community (place of worship, faith group etc)
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This work by
The Australian Religious Response to Climate Change
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Creative Commons Attribution-NonCommercial 3.0 Unported License