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Bike Family Application | Due Sunday, April 21, 2019
START DATE: May 18, 2019
END DATE: June 9, 2019
DURATION: 7 - 11 hours of education and family bike rides
AWARDS: All participants who have completed the program will receive a bike and a helmet on bike safety graduation day.

Learn more about the Atlanta Bicycle Coalition's Bike Family program: AtlantaBike.org/bikefamily

Email address *
Full name *
Your answer
Full address *
Your answer
How many members of your family will participate (include yourself)? *
Let us know how tall you are in feet and inches (this will help us get the best bike size for you). *
Your answer
List the name of the second family member, their age, and their height. *
Your answer
List the name of the third (if any) family member, their age, and their height.
Your answer
List the name of the fourth (if any) family member, their age, and their height.
Your answer
List the name of the fifth (if any) family member, their age, and their height.
Your answer
Indicate which of these schools anyone from your participating family currently attends or works. (Check all that apply.) *
Required
What neighborhood do you live in? *
Your answer
What kinds of transportation does your family typically use? (Check all that apply.) *
Required
What interests you about biking with your family? *
Your answer
Would your family be interested in riding bikes in the Atlanta Streets Alive kickoff parade on Sunday, June 9 from 2:00 pm to 4:00 pm? *
How did you hear about this opportunity? (Check all that apply.)
A copy of your responses will be emailed to the address you provided.
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