Volunteer Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Host name: Cycle Movement
Camp dates: July 11, 2022 - Jul 15, 2022
Camp location/address: Englewood Middle School, 3800 S. Logan Street, Englewood, CO 80110

We are pleased to offer this bike program to people with disabilities and look forward to having you play an important part in helping our riders learn to ride a two-wheel bicycle independently.

***NO PRIOR EXPERIENCE WORKING WITH PEOPLE WITH DISABILITIES IS NECESSARY***

AGE REQUIREMENT: Volunteers must be at least 15 years old.
If you are under 15, please contact the Camp Host for possible opportunities.

We will be monitoring the Covid-19 situation and following guidelines given from state, local, and school district authorities/laws/rules. This is all in an effort to keep our riders, volunteers, staff and families safe. While we will take necessary precautions, being exposed at camp is still a possibility. If you are unable to follow these guidelines, please defer volunteering to the following year.

For questions please contact Kent Husa at info@cyclemovement.bike

Volunteer First Name *

Volunteer Last Name *

Age at START OF CAMP *

T-shirt size *

XXL

E-mail address *

Please ensure you have entered a valid email. The Camp Host will use this address when corresponding with you.

Cell Phone *

Please enter 10 digits

Home Address (Number and Street) *

Home Address (City) *

Home Address (Zip Code) *

5 digits only, please. e.g., 22011

Home Address State/Province *

Emergency Contact Name *

Emergency Contact Phone *

Enter 10 digits only, please. e.g., 3031112222

Parent/Guardian Email (if volunteer is under 18 y/o)

Comments

Clear form

Never submit passwords through Google Forms.

This form was created inside of iCanShine. Report Abuse

Forms