iCan Bike Volunteer Registration

Thank you for volunteering for iCan Bike presented by the Down Syndrome
Foundation of Florida. We are pleased to bring this program to our community,
and would like to thank you in advance for your contribution.

When: July 28, 2019 - August 2, 2019
Where: Orange County Convention Center

Please complete the Volunteer Application below. If you have any questions
contact Camille Gardiner at camille.gardiner@dsfflorida.org.

Personal Information
Volunteer First Name: *
Your answer
Last Name: *
Your answer
T-shirt Size *
Date of Birth: *
Your answer
Gender: *
Your answer
Parent/Guardian Name:
(If under 18 yrs old)
Your answer
Home Phone: *
Your answer
Cell Phone: *
Your answer
Work Phone: *
Your answer
Preferred Contact Method: *
Email Address: *
Your answer
Street Address 1: *
Your answer
Street Address 2:
Your answer
City: *
Your answer
State: *
Zip: *
Your answer
Emergency Contact Name: *
Your answer
Relationship: *
Your answer
Emergency Contact Number: *
Your answer
Alternate Phone Number:
Your answer
Volunteer Role
Please indicate which volunteer role you are interested in: *
Required
Please determine your highest level of fitness: *
Spotters -- Your Commitment
Please indicate the times when you will be available to volunteer. Please note that
we ask spotters to commit to working the entire week of the camp for the
session(s) you select. Campers bond with their volunteers and rely on the same
person to be there each day to help them learn to ride. It is important that you
arrive 15 minutes prior to your session start time for a daily briefing.
Session Times: *
Select all that apply.
Required
If you would like to volunteer Thurs./Fri. only, please let us know your availability.
Select all that apply.
Additional Information:
How did you learn about our bike camp?
Your answer
What is your profession?
Your answer
Do you have experience working with individuals with unique abilities?
If yes, please explain.
Your answer
What is your reason for volunteering with iCan Bike?
Your answer
PHOTOGRAPH AND/OR VIDEO RELEASE
I give permission for the above to be photographed and/or videotaped in print or electronic media by Down Syndrome Foundation of Florida or third parties acting on behalf of Down Syndrome Foundation of Florida. I acknowledge and agree that photographs and videos may be edited and used in whole or in part as desired for the purpose, which may be produced, duplicated, distributed and used for informational, promotional or other public purposes. I understand that photographs and video are not my property and there will be no compensation to me. I understand and authorize the use in writing or otherwise the name or identity of the above.
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