Bike Smart Interest form

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Fill out this form to put your name on our Bike Smart email list. We use this list to notify people when our Bike Smart trailer request form is open for the season.

Emails are sent on the following schedule:
~ Late July for Fall and Spring scheduling
~ April for Summer scheduling

NOTE--this is NOT the trailer request form. We open and close the request form seasonally, and the contacts from this interest form is how we track partner interest when the trailer request form is closed, so we can let you know when we re-open that form.

First Name *

Last Name *

Email Address *

Alternate Contact Person

In case there's an issue contacting you, this person will be the alternate contact for receiving a notification about Bike Smart.

Alternate Contact Person Email Address

School /Organization Name *

Preferred Season (s) to receive the trailer *

Pick all the seasons you would prefer to receive the trailer

Fall

Spring

Spring Break

Summer

Required

Will you/your staff need a Bike Smart curriculum training? *

The training is remote, and is about 90 minutes. It requires a computer, a speaker, and a microphone.

Yes

Other:

Submit

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