Volunteer Registration Form

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We are pleased to offer this bike program to people with disabilities and look forward to having you play an important part in helping our special riders learn to ride a two-wheel bicycle independently. For more information about our camp, visit icanshine.org/ican-bike-cambridge-ma.

Camp dates: August 13th - 17th, 2018 (Orientation August 12, 2018)
Location: Cambridge Rindge and Latin School, 1640 Cambridge St, Cambridge, MA 02138
Questions: icanbikecambridgema@gmail.com

***NO PRIOR EXPERIENCE WITH PEOPLE WITH DISABILITIES NECESSARY OR RIDING BIKES***

AGE REQUIREMENT: Volunteers must be at least 15 years old

First Name *

Last Name *

Gender *

Male

Female

Other:

Age *

T-Shirt Size *

XS (Extra Small)

S (Small)

M (Medium)

L (Large)

XL (Extra Large)

XXL (Double Extra Large)

Email *

Cell Phone *

Home Street Address *

City *

State *

Zip Code *

Emergency Contact Name *

Emergency Contact Phone

Comments

Volunteer Orientation:

Please plan to attend our 45-minute orientation on Sunday, August 12th at 4:00 in the War Memorial Field House (1640 Cambridge St, Cambridge, MA 02138). During this orientation, you will learn about how the iCan Bike program operates, what to expect each day in your role as a volunteer spotter and you will receive training tips on spotting your assigned rider. There will also be an opportunity to ask questions and meet other volunteers in your session. Also, please plan to arrive each day of camp 15 minutes prior to your session start time for a daily strategy/briefing session.

Volunteer Role:

Spotter: Walk/jog/run alongside a rider as they are learning to ride a bike during a 75-minute session (with short breaks) for 5 days Monday through Friday. You will provide encouragement and physical support, as needed.

Highest level of fitness: *

I can jog at a moderate pace for one hour with short breaks

I can walk fast for one hour with short breaks

I can walk steadily for one hour with short breaks

I cannot walk steadily for one hour with short breaks

Comments (e.g. physical limitations, prior experience with children with disabilities, etc):

Session(s) Volunteering For

NOTE: Volunteer spotters will walk/jog approximately 3 miles during EACH 75-minute session so please keep this in mind if volunteering for multiple sessions.

We ask volunteers to commit to attending ALL 5 days of camp for the session(s) you select. Riders bond with their assigned volunteers and rely on the same person to be there to support them each day of camp.

75-minute session(s) for which you would like to volunteer : *

Session #1: 8:30 am – 9:45 am

Session #2: 10:05 am – 11:20 am

Session #3: 11:40 am – 12:55 pm

Session #4: 2:00 pm – 3:15 pm

Session #5: 3:35 pm – 4:50 pm

I’m available to help spot a rider still in need of support during the day(s) immediately following camp.

I’m available to help pack-up/move the bike equipment after the last session of the last day of camp.

Required

How did you find out about iCan Bike Cambridge?

News Article/Blog Post

Facebook

From a Friend

Email List (Please specify in "Other")

Other:

Comments (e.g. day you cannot attend or will be arriving late):

Thanks so much for registering!

***PLEASE bring a signed Volunteer Liability Release Form (we will send one to you after you submit this form) to the orientation!***

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