iCan Bike Rider Registration Form
This camp is currently FULL. To place your rider on the waiting list please complete the below 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: Easterseals Central Illinois
Camp dates: July 26, 2021 - July 30, 2021
Camp location: EastSide Centre, 1 EastSide Dr., East Peoria, IL 61611
Fee: $100

For questions please contact Tammy Wright at twright@eastersealsci.com
Never submit passwords through Google Forms.
This form was created inside of iCanShine. Report Abuse