InTandem Youth Application - 2024
Hey there! Thank you for your interest in InTandem Youth. This program is a great way for high schoolers who are fully-sighted to cycle and high schoolers who are blind or have low vision to cycle together while building communication, teamwork, and leadership skills.

A Captain is a fully-sight person on the front seat of a tandem bike. A Stoker is a visually-impaired peron on the back seat of a tandem bike.   

InTandem Youth will be held in Central Park.Please fill out the questionnaire below and we will get back to you!

Here are the program details:

-Thursday, April 18: 7:00pm - 8:00pm (Zoom orientation and training)
-Saturday, April 20: 8:30am - 11:00am (Captains Only)
-Saturday, April 27: 8:30am - 11:00am (Everyone)
-Saturday, May 11: 8:30am - 11:00am
-Sunday, May 19: 8:30am - 11:00am
-Sunday, May 26: 8:30am - 11:00am
-Sunday, June 2: 8:30am - 11:00am
-Sunday, June 9: 8:30am - 11:00am
-Saturday June 15 (rain dates)

After you submitted the form, you will be contacted to go over the program details and to identify a time for an interview with a experienced Captain and Stoker.
Sign in to Google to save your progress. Learn more
What is your first name? *
What is your last name? *
What is your age? *
Are you applying as a Captain (fully sighted cyclist on the front seat of a tandem bike) or a Stoker (blind/vision impaired cyclist on the back seat of a tandem bike) *
What is your height? (for safety, Captains and Stokers will be paired with cyclists who are of similar height and weight) *
What is your weight? (for safety, Captains and Stokers will be paired with cyclists who are of similar height and weight)
Clear selection
What year are you in? *
What is your shirt size? *
Email Address *
Mailing Address *
Name of parent or guardian *
Phone number for parent or guardian *
Email adress for parent or guardian *
Please describe your cycling experience  *
Why do you want to be a part of the InTandem Youth? *
What do you hope to learn or gain from this experience? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of InTandem Cycling Inc. Report Abuse
Google Forms