Drive Your Bike Request Form - Alameda County Safe Routes to Schools

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Thanks for your interest in the Alameda County Safe Routes to Schools' Drive Your Bike program, funded by the Alameda County Transportation Commission (www.alamedactc.org).

Drive Your Bike programs encourage and prepare students to safely bike to school, and around their community. Programs start in the classroom, move to the blacktop, and culminate with an off-campus neighborhood bike ride. With instruction from a team of experienced bike safety educators, students learn and practice:

Proper Helmet Fit and Bike Fit
How to Perform a Pre-Ride Bike Safety Check
How to Communicate with Traffic
Traffic Law, Rules of the Road, and Right of Way
Braking and Gear Shifting
Obstacle Avoidance
Lane Positioning, Lane Changing, and How to Make Left Turns
How to be Visible, Predictable, and Aware in Traffic

Drive Your Bike programs are typically delivered during regular PE class periods, as a 3-day series for students in grades 6-12. One-day 150-minute programs for 5th graders are available to some schools.

To request a Drive Your Bike program at your school, please fill out the form below.

To learn more, please email Barron Johnston at bike.ed@alamedacountysr2s.org.

Is your school enrolled in the Alameda County Safe Routes to School Program? *

Yes

No (If not, you must enroll your school in the program prior to requesting our activities. Visit http://alamedacountysr2s.org/our-program/register/ to enroll.)

I don't know

School Name
*

School District *

School Principal's Name *

School Principal's Contact Information

Please provide the best phone number or email address for your school's principal (if known)

Main School Contact's Name *

Please provide the full name of the person who will help us schedule and coordinate this event at your school

Main School Contact's Phone Number *

Main School Contact's Email
*

What is the best way to communicate with the main school contact? *

Phone

Other:

Please enter at least three potential start dates for your school's Drive Your Bike program(s). While considering your availability, please also consider ours! Our team can serve one or two schools at a time. *

Is there anything we should know about your preferred timing or school bell schedule on those dates?

i.e. short days on Wednesdays, block scheduling, scheduled assemblies, etc.

How many classes would participate, at each grade level? *

How many students are in the largest class?
*

Please check the box next to each requirement below to indicate that your school can provide it. *

School staff supervision for each class

A minimum total of 30 student participants

For programming, a minimum 100ft x 50ft of available blacktop/playground/parking lot space, or indoor cafeteria/auditorium space (sub-optimal)

For storage, a minimum 20ft x 8ft of accessible space to secure bikes & equipment throughout the program. We strongly prefer indoor space.

Required

Does your school provide bike racks for student and staff use? *

Yes

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