iCan Bike Online Registration Sign Up 2020
Please compete the below form to sign up for iCan Shine's complimentary Online Registration Forms.
Information you provide below will be used to build the on-line registration materials for your camp.

Delays in responding, and/or incomplete responses below will increase the time required to develop the materials for your camp.

Note: Development time for complete on-line Forms after receiving your responses to the questions below is 7-10 working days

Questions? Please contact Andrea Patrick at andrea@icanshine.org
Email address *
Camp City, State/Province (2-letter code)
Your answer
Host Organization (to be listed on first page and liability forms)
Your answer
Camp Facility (facility name & address)
e.g. Melbourne Middle School 123 Park Pl. Fairfax, VA 22110
Your answer
Camp Start Date
MM
/
DD
/
YYYY
Camp Fee
Your answer
Scholarship information, if applicable. Please include reduced fee if set amount, as well as exact scholarship text you would like to appear on the first page of the registration form.
Your answer
Host Name
Your answer
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