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: RISE for Autism
Camp dates: June 24, 2019 - June 28, 2019
Camp location: Old Mill High School 600 Patriot Lane Millersville, MD 21108
Fee: $100
For questions please contact Morgan Harris at mharris@riseforautism.org

Registration forms are currently being accepted but forms will not be reviewed until April 17th. You will receive a confirmation email immediately after submission of the form but, will not receive any other communication from the camp host on acceptance or denial to the program until April 17th or after.

Never submit passwords through Google Forms.
This form was created inside of iCanShine. Report Abuse - Terms of Service