Community Bike Works registration form: English


At Community Bike Works, safety is our number-one priority, including the health and safety of our students, staff, and community. Therefore, all youth who are eligible and able should receive a COVID vaccine before participating in in-person Earn a Bike. Currently, youth 12 and older are eligible to be vaccinated.

Appointments for youth 12 and older can be scheduled at: or You can also call 833-584-6283 (LVHN) or 866-785-8537 (St. Luke's) to schedule an appointment.

Our Earn a Bike and Junior Earn a Bike programs are open to students ages 7-18 and are still in elementary, middle, or high school. If your student is younger than 7, please wait to register them until they are old enough.

Please fill out this form to register for the Earn a Bike or Junior Earn a Bike Program. At this time, we are only offering in-person bike mentoring programs. WE WILL NOT SHARE YOUR INFORMATION WITH ANYONE ELSE WITHOUT YOUR CONSENT.

Community Bike Works admits students of any race, color, national and ethnic origin to all of the rights, privileges, programs and activities generally accorded and made available to students. Community Bike Works does not discriminate on the basis of race, color, national and ethnic origin in the administration of its educational policies, admissions policies, scholarship policies or other administered programs.
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