Sagger Sign Up

Basic Sagger Information

First name*

Last name*

Email*

In case of emergency contact (name/phone)*

Address

Address 1*

Address 2

City*

State*

Zip code*

Contact Information

Home phone

Cell phone

Work phone

Best time to reach me

Best phone to call

2nd best time to reach me

2nd best phone to call

Additional Information

Preferred Role*

Stationary Sagger

Transporter

Motorcycle Rover

Shirt size

If this is your first Agony, how did you hear about it?

I understand I may not bring anyone under the age of 16 to this event. 16 and 17 year olds must be accompanied by an parent.*

I understand I will be providing SAG support for all riders.*

I understand I will be asked to sign a Waiver of Liability at the event.*

Signature*