Gear'd Up application form
This form is an application for a family member or friend to the Gear'd Up cycling program. We have a limited number of spaces per year and this form does not guarantee that there will be space for your nominee. Only complete forms will be reviewed.
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Email *
Excited participants trying their bikes and helmets on for size at the Bike Barn
Your Contact information (name, email and phone number)
Nominee information- name, age and Parent/Guardian name and contact information (if not already entered above).
Are you nominating another individual or is this for a family member?
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What year was the nominee born in (should be aged 11 - 13 years old)?
This program is being offered to help remove the financial barriers to youth participating in outdoor recreation. To be eligible for funding, families must first meet specific financial criteria as per the Revenue Canada's Low Income cut-offs 2022. We use the furthest right column. Does your nominee meet this criteria?
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If you answered "Maybe" in the question above, please explain why. 
Does your nominee show an interest in outdoor recreation, specifically cycling and have an average amount of physical stamina?
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Are there any medical concerns that our coach should be aware of?
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Relevant medical history
Does the nominee have a secure place to store a bicycle and related cycling gear?
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Will the nominee have transportation to and from the group location? We usually meet once per week after school for approximately 1.5 - 2 hours in the Penticton area. 
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Please explain why you think this youth would benefit from our program.  *
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