Alameda County Safe Routes to Schools — Bicycle Rodeo Request Form

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The Alameda County Safe Routes to Schools Program is funded by the Alameda County Transportation Commission (www.alamedactc.org). Your transportation dollars at work!

Thanks for your interest in the Alameda County Safe Routes to Schools' Bicycle Rodeo program.

Bicycle rodeos focus on introducing elementary and middle school students to safe bicycle handling skills and riding techniques on the road. The training incorporates bicycle handling drills and a simulated city streets course. The program is delivered in-class for 4th, 5th and 6th graders. After-school and weekend rodeos that are open to students in grades K-8 are also available. Bike Rodeos can be scheduled Monday-Saturday.

Please fill out the form below to request a bicycle rodeo at your school.

School Name *

School Address *

School District *

School Principal's Name *

School Principal's Main 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 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 Address *

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

Phone

In Person

Please enter your top three dates to schedule your school's Bicycle Rodeo. *

Is there anything we should know about your bell schedule? *

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

Number of students interested in participating and their grade level(s). *

Please check the boxes next to the requirements to indicate that your school can provide them. *

School staff supervision to supervise each class

Minimum 50 x 100 sq. ft. blacktop or open space

Parent volunteers to chaperone field trips

Required

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

Yes

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

Yes

Don't Know

Submit

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