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Cycling to Work

Bicycling Commuter Registration


Click here to download, print and fax the PDF form.

Yes, I will ride my bicycle to work at least two days per week.
Please register me for the Bike Care Program.*

Today's Date:
Last Name / First Name:
Street Address:
City:
State:
Zip:
County:
Home Phone:
Email :
 
 
Number of miles traveled one way:
Approximate number of days commuting by bike:
 
WorkSite Information
*Company Name:
 
Street Address:
*City:
 
State:
Zip:
Work Phone:
My current commute is by: Driving alone
Carpooling/Vanpooling
Use Public Transit
Bicycling

Other:

* Cyclist must commute by bike a minimum of three consecutive months to be eligible for program. HART reserves the right to verify bicycle commuting through random checks at commuter worksites. Any fraudulent use of the Bike Care Program will result in immediate dismissal from the program.

I have reviewed and accepted the Waiver of Liability located below. * (required)
 



Waiver of Liability
In consideration of my registration in the BikeCare Program, I waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which I may currently have or which may subsequently arise, in whole or part, as a result of my participation. I understand that my participation is at my own risk.

I understand that bicycling is a physical activity and that it is my responsibility to consult a physician on my health prior to cycling. I further understand that the maintenance and condition of my bicycle is my responsibility in preparation for any ride.

I hereby assume the risk of cycling to work and acknowledge and accept those risks, including traveling on roads that are open to vehicular traffic, and understand that it is my responsibility to identify the safest route for my travel. This release, waiver and discharge extends to all members of the HART Board of Directors, Staff, Members, and Associates of the HART BikeCare Program.

 

$50 Prepaid Gas Card
HART Carpool Rider Bonus Program

Click Here to Earn a Gas Card

NJDOT
Offers $100 gas card

Click Here to
Earn a Gas Card

"Riding a bike you can really appreciate the scenery, wild flowers and pretty farms in Hunterdon County."

- S.S., Hunterdon Healthcare System, Flemington

Bike Care Program
Bike Tour Maps
Emergency Ride Home
 
BIKE TO WORK WEEK MAY 12-16
Register Here

MONITOR GAS PRICES ONLINE
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EARN A $100 GAS CARD
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HUNTERDON COUNTY CONSTRUCTION INFORMATION

NEW JERSEY STATEWIDE CONSTRUCTION INFORMATION

WEATHER CONDITIONS


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