iCan Bike Rider Registration 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: Anne Carlsen Center and Designer Genes
Camp dates:  July 26, 2021 - July 30, 2021
Camp location:  VFW Sports Center: 1200 North Washington Street, Bismarck, ND 58501
Fee:  $100

For questions please contact Rachael Buss at rachael.buss@annecenter.org

Sign in to Google to save your progress. Learn more
Clear form
Never submit passwords through Google Forms.
This form was created inside of iCanShine. Report Abuse