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Application to start Pedal Power
If you are under the age of 13, please have a parent help you with the questions below! Questions? Email gopedalpower@gmail.com
Email address *
Name (Last, First) *
Your answer
Age *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone number (applicant's)
Your answer
Phone number (parent or guardian) *
Your answer
Email address (applicant's)
Your answer
Email address (parent or guardian) *
Your answer
Name of school you currently attend *
Your answer
Email of Principal/adviser at school *
Your answer
What makes you a good fit for working with Pedal Power? (Limit 200 words) *
Your answer
Why do you think your area would be a good fit for Pedal Power? (Limit 300 words) *
Your answer
A copy of your responses will be emailed to the address you provided.
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