BiCi Co. Fall Program Interest Survey
BiCi Co. is a teaching, membership bike shop that is being developed at the Center for Latino Progress (95 Park Street).  One of the components of the project will be bicycle programs for youth and teens (ages 13-18).  Thanks for completing the following short survey.  If you answer that you are interested (or may be interested) in the Fall program, we'll contact you when registration is open.  The fall program will run for between four to eight weeks, depending on interest and funding.  The program is expected to start in October.

The BiCi Co program is part of the Center for Latino Progress.  Center for Latino Progress (formerly the CT Puerto Rican Forum) has been serving the community since 1978.
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First Name *
Last Name *
Would you be interested in a Build-a-Bike or Fix-a-Bike program this Fall (2015), or next Spring (2016)? *
The program would include bicycle safety, bike maintenance, history, and science topics.  Participants would learn to fix a bicycle, and if they didn't have a bicycle - they would keep the one they fixed at the end of the program.
Your phone number - or a parent's phone number.
Your email address.  Please double check after you type it.
What are you most interested in? *
Pick your three favorites.
Required
Your Age on October 1st, 2015.
Note - This program is for teens from 13 to 18 years of age.
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