375 Longwood Avenue
Boston, MA 02215-5328
Telephone: (617) 632-2796
Email: CommuteWorks



Transit	LMA Shuttles	Vanpools/Carpools	Biking	Walking

Registration Form

After registering for CommuteFit, we'll send you detailed information on the CommuteFit program.

Please Complete All Fields

Commuter Information:
Date:
Name:
Home Address:
City:
State:
Zip:
Home Phone:
Email Address:
Employer Information:
Employer:
I plan to:
	walk to work
	bike to work
	jog to work
	Other
Estimated number of miles per day you will be biking, walking, or jogging:
Estimated number of days per week you will be biking, walking, or jogging:

CommuteFit’s Release of Liability

By registering for these programs you authorize CommuteWorks to release information provided by you to those requesting information concerning transportation sharing to and from the Longwood Medical and Academic Area. In registering you understand that this information will be distributed to those requesting related information.

By registering this document you hereby agree to hold harmless, release, waive, forever discharge and covenant not to sue or bring claim against CommuteWorks, MASCO, their subsidiaries, officers, agents, and, or employees from any and all claims and demands whatsoever which the undersigned or any third party, and the representatives thereof may have against said company, its subsidiaries, officers, agents, or employees by reason of the distribution of such information.

Thank you for registering with the CommuteWorks' CommuteFit program. By submitting this form, you agree to the terms & conditions stated above.

Please hit Submit now to send your info.

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CommuteWorks
A service provided by MASCO, Inc.