McCord Middle School Volunteer Registration

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.

***NO PRIOR EXPERIENCE WITH PEOPLE WITH DISABILITIES NECESSARY***
AGE REQUIREMENT: Volunteers must be at least 16 years old

* 1. What is your name?

* 2. What is your gender?

* 3. How old are you? Remember that in order to volunteer, you must be at least 16 years of age prior to the start of camp.

* 4. What is your t-shirt size?

* 5. Please share your cell phone number.

* 6. Please share your email address.

* 7. Please share your home address.

* 8. Please share your emergency contact name and phone number.

* 9. Volunteer Orientation

Please plan to attend our 45-minute orientation on June 4th at 5pm at McCord Middle School. 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.

If you have an unavoidable scheduling conflict, please indicate in the "other" box and we will work with you to make alternate arrangements.

* 10. Your role as a volunteer is to be a "spotter." You will be walking/running/jogging alongside a rider as they are learning to ride a bike during a 75 minute session (with short breaks) for 5 days Monday-Friday. You will provide encouragement and physical support, as needed.

Please check the option below indicating your highest level of fitness.

* 11. Please share any comments here (e.g. physical limitations, prior experience with children with disabilities, etc.)

* 12. Session(s) Volunteering Form:

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.

Please check the options indicating the 75 minute session(s) for which you would like to volunteer. Please limit 3 sessions.

* 13. Would you like verification of service hours?

* 14. Are you volunteering with an organization (school, group, company, etc.) If so, please tell us the name of your organization in the comment box.

* 15. Volunteer Signature (typed signature is acceptable):

By signing, I hereby expressly acknowledge that biking, like many sports such as swimming, golf, soccer, and gymnastics involves movement and physical activity, and that injury or mishap are possibilities in spite of all reasonable safeguards and precautions taken.  Further, I hereby expressly acknowledge that photographs and/or videos of me may be taken by parties outside the control of iCan Shine in connection with participating in this program.  I acknowledge that iCan Shine has limited or no control over such activities of third parties and has no control over any editing and/or use of such photos and/or video footage. I accept such risks as reasonable and proper, and agree to hold harmless the officers, principals, staff and volunteers of [insert Host Name], iCan Shine, Inc., and Rainbow Trainers, Inc. should injury or mishap occur in this regard.

I give permission to be photographed and/or videotaped in print or electronic media by iCan Shine or third parties acting on behalf of iCan Shine.  I acknowledge and agree that photographs and videos may be edited and used in whole or in part as desired for the purpose, which may be produced, duplicated, distributed and used for informational, promotional or other public purposes.  I understand that photographs and video are not my property and there will be no compensation to me.

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