Email address we can reach you at *if you are under 16 please include parent or guardian email address *
Your answer
School Name *
Your answer
Is your school *
City *
Your answer
School Mailing Address (note: we will mail your school a FREE Bike to School Kit. Insert your address here if you would like us to mail the kit to you). If you leave this blank, we will not mail you a kit.
Your answer
Title of your video *
Your answer
Short description of your video
Your answer
Please list the first names of anyone else appearing in your video
Your answer
Link to your video online (Youtube or Vimeo) *
Your answer
Do you give us permission to share your video on social media and online to promote Biking to School and GoingByBike? *