NorCal SCI Handcycling Program (Able Bodied) Reservation Form
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Email *
Participant Name *
Are you over 18? *
Have you handcycled before?
Clear selection
Do you have one of the following disabilities?
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If SCI, what level?
How good are your transfers?
Great, I can do a floor to chair transfer indepoendently
Not good, will likely need a Hoyer lift
Clear selection
What length ride are you interested in?
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Do you have a friend or family member that could ride along and help?
Clear selection
A copy of your responses will be emailed to the address you provided.
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