iCan Bike Rider Registration Form
Requirements for Participation (Rider must meet all of below criteria):

· Minimum age - 8 years old
· Able to sidestep to both sides
· Have a disability
· Able to attend camp all 5 days
· Able to walk without assistive device
· Maximum weight 220 lbs.
· Willing and able to wear a properly fitted bike helmet
· Minimum inseam of 20” (measure from floor while rider is wearing sneakers)

NOTE: Dropping-off Riders at the program is not permitted. A parent, legal guardian or other adult authorized to take responsibility for the Rider (e.g. another parent) must remain on site for the duration of the 75-minute program.

Camp host:
Camp dates:
Camp location:
Fee:

For questions please contact
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