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 duration of each day's 75-minute program.

Camp host: Hoboken Family Alliance and City of Hoboken
Camp dates: June 28, 2021 - July 2, 2021
Camp location: Hoboken High School 800 Clinton St. Hoboken NJ 07030
Fee: Free for Hoboken residents only (Hoboken address required)
$200 for non-Hoboken residents
If you need financial assistance for the camp please email the camp directly: hobokenbikecamp@gmail.com

For questions please contact Theresa Howard at hobokenbikecamp@gmail.com
Never submit passwords through Google Forms.
This form was created inside of iCanShine. Report Abuse