2018 ASBC iCan Bike Clinic Volunteer Registration Form
We are pleased to offer this bike program to people with disabilities and look forward to having you play an important part in helping our riders learn to ride a two-wheel bicycle independently

***NO PRIOR EXPERIENCE WITH PEOPLE WITH DISABILITIES NECESSARY***

AGE REQUIREMENT: Volunteers must be at least 15 years old

Volunteer Information
Name *
Your answer
Address *
Your answer
Email Address *
Your answer
Cell Phone Number *
Your answer
Gender *
Age *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
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