iCan Bike Volunteer Registration 2023

Volunteer Registration Form

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 to ride a two-wheel bicycle independently.

***NO PRIOR EXPERIENCE WORKING WITH PEOPLE WITH DISABILITIES IS NECESSARY***

AGE REQUIREMENT: Volunteers must be 15 years old

Question Title

* 1. Volunteer Name

Question Title

* 2. Gender

Male

Female

Question Title

* 3. Age

Question Title

* 4. E-Mail

Question Title

* 5. Cell Phone

Question Title

* 6. Home Street Address

Question Title

* 7. Home Address City, State, Zip

Question Title

* 8. Emergency Contact Name and Phone Number

Emergency Contact Name

Emergency Contact Phone

Question Title

* 9. Will you need documentation of service hours?

Yes (if yes, please provide documentation to Host on final day of volunteering)

iCan Bike Volunteer Registration 2023

Volunteer Registration Form

Question Title

* 1. Volunteer Name

Question Title

* 2. Gender

Question Title

* 3. Age

Question Title

* 4. E-Mail

Question Title

* 5. Cell Phone

Question Title

* 6. Home Street Address

Question Title

* 7. Home Address City, State, Zip

Question Title

* 8. Emergency Contact Name and Phone Number

Question Title

* 9. Will you need documentation of service hours?

Question Title

* 10. Comments