Groton Police Department Bike Rodeo Registration & Permission Form

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Saturday, April 29, 2023
9am-1pm
Groton Dunstable Regional High School
Rain or Shine!

Participant's First and Last Name *

Participant's Address *

Participant's Grade *

Preschool

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Participant's School *

Florence Roche Elementary

Swallow Union Elementary

Other:

Please share participant's riding level. *

Two-wheeled bicycle, unassisted.

Two-wheeled bicycle, training wheels.

Scoot Bike or Strider Bike (no pedals), unassisted.

Tricycle

Other:

Adult Contact Name *

Adult Contact Number *

Adult Contact Email *

Please respond to the following statements: *

Yes

I voluntarily allow my child to participate in the Groton Police Department Bike Rodeo.

I understand participation in the Bike Rodeo involves riding a bicycle through varioius obstacles to increase riding skills and knowledge.

My child will take all safety precautions recommended by the program's sponsors to try and avoid danger to themselves or others.

My child will wear a helmet through the riding components of the Bike Rodeo or will not be allowed to participate.

Yes

I voluntarily allow my child to participate in the Groton Police Department Bike Rodeo.

I understand participation in the Bike Rodeo involves riding a bicycle through varioius obstacles to increase riding skills and knowledge.

My child will take all safety precautions recommended by the program's sponsors to try and avoid danger to themselves or others.

My child will wear a helmet through the riding components of the Bike Rodeo or will not be allowed to participate.

Please read and respond to the Recreational and Volunteer Activities Release Form: *

https://tinyurl.com/ActivitiesReleaseForm

I have read and understand the Groton Police Department Bike Rodeo Recreational and Volunteers Activities Release Form.

Required

Please read and respond to the Photo Release and Waiver: *

https://tinyurl.com/photoreleasewaiver

I have read and understand the Groton Police Department Bike Rodeo Photo Release and Waiver.

Required

I understand that I must complete a hard copy of the Participant Release & Waiver of Liability form on the day of the event at GDRHS prior to my child taking part in the Bike Rodeo. *

Yes

Required

Name of Parent or Guardian *

Signature of Parent or Guardian *

Date *

YYYY

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