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)

Camp host: Eileen Shaffer
Camp dates: June 25 - June 29, 2018
Camp location: Tuscarora High School 801 North King Street Leesburg, Virginia 20176
Fee: $200
For questions please contact Eileen Shaffer at eshaffer@paxtoncampus.org

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