Daycamp Application Form
Fill out the form carefully. One application must be completed per child.
Why an application?
All participants are being screened via an application process to ensure participants' age, skill level and equipment is suitable for the course. This process is in place to ensure your child's bike is the correct size for them to safely master all required skills and that they have an appropriate existing skill level to begin with. You will also be asked to confirm your understanding and acceptance of our policies, in order to protect us from chargebacks and poor reviews due to a misunderstanding of our expectations. Applications must be completed in full, including submission of photos, by the application deadline. All applications will be reviewed by Safer Cycling Calgary and you will be contacted within 3 business days whenever possible: you will be given an opportunity to address any concerns with your application, such as inappropriate bike fit, in order to meet requirements.
Which week are you applying for?
*
Please Select
Week 3: Aug 19-23 (deadline Aug 9)
If your desired week is full, or you need more time to correct issues, what alternate week(s) are you interested in?
Week 2: July 29-Aug 2
Week 3: Aug 19-23
None
Where did you hear about this course?
Web search
Newsletter
Friend
Instagram
Facebook
City of Calgary
Car or Bike sign
Road sign
Previously attended course
Other
Parent/Guardian Name
*
First Name
Last Name
Participant Name
*
First Name
Last Name
Participant's Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
Year
Participant's Gender Identity
*
Please Select
Male: He/Him
Female: She/Her
Neither: They/Them
For our information only: this does not influence your application
Address (City & Postal code required)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian E-mail
*
Confirmation Email
example@example.com
Parent/Guardian Mobile Number
*
Alternate Phone Number
Name(s) of additional people authorized to pick up your child: we will not release your child to anyone not listed.
Biking Skills
My child can start riding on their own (without help):
*
Rarely/never
1
2
3
4
Always
5
1 is Rarely/never, 5 is Always
My child can balance and pedal for at least 50m without stopping:
*
Rarely/never
1
2
3
4
Always
5
1 is Rarely/never, 5 is Always
My child can stop using the brakes on their bike (coaster/pedal and/or hand brakes):
*
Rarely/never
1
2
3
4
Always
5
1 is Rarely/never, 5 is Always
My child can turn left and turn right:
*
Rarely/never
1
2
3
4
Always
5
1 is Rarely/never, 5 is Always
My child can ride with their left hand off the handlebar for at least 3 seconds:
*
Rarely/never
1
2
3
4
Always
5
1 is Rarely/never, 5 is Always
Bike Fit
A Note On Growth
Children grow, sometimes rapidly, so a bike that fits a child in April may no longer be a good fit for a camp in August. If you apply **more than 60 days** prior to the camp start date, you may be asked to submit new photos closer to the camp date to confirm the bike still fits. If it does not, you will be given information on how to find a bike that does fit: failure to provide a properly fitting bike on the first day of camp will result in your child being unable to continue with the camp and you will *not* be eligible for any refund.
You are required to submit at least 3 photos of your child with their bike. These photos are used to determine if your child's bike is suitable for them to bring to camp. Photos will not be shared with anyone but Safer Cycling Calgary staff. (Example photos shown below.) Check the photos you are submitting:
*
Showing standover height
Showing reach
Showing overall fit
Showing condition of chain/rear cassette
Upload at least 3 photos of your child with their bike
*
Browse Files
Drag and drop files here
Choose a file
Photos will not be shared!
Cancel
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Additional Details
Describe any physical issues/concerns we need to be aware of
Describe any health and/or behavioural issues/concerns we need to be aware of
List any allergies we need to be aware of
List any medications your child uses and/or will be bringing to camp (including epi-pen)
Is there anything we should know about your child, their cycling experience, their attitude towards cycling, etc?
*
What size of water bottle would your child like?
*
20 oz / 590 mL (approx. 8" / 20cm total height)
28 oz / 830 mL (approx. 10" / 25cm total height)
Terms and Conditions
By typing my name or initials below, I indicate that I understand, and accept, that I am filling out an application form and that my child may or may not be admitted to the desired camp. I understand that I will be contacted with any concerns regarding my application and may be given the opportunity to address ineligibility reasons. Final decision on eligibility rests solely with Safer Cycling Calgary.
*
Type your name or initials to accept
By typing my name or initials below, I indicate that I understand, and accept, that if my application is accepted, I will be expected to complete registration and payment in full within 3 business days and that failure to do so may result in the cancellation of my registration. I understand that placement in my desired course week is not guaranteed without full payment.
*
Type your name or initials to accept
By typing my name or initials below, I indicate that I understand, and accept, that my child must provide their own properly fitting bike, in good working condition, and that failure to provide this equipment may result in my child's removal from the camp at any time with no refund possible. Further, I understand and agree to submit any changes in my child's bike prior to the camp for evaluation and accept that a bike different than approved may not be acceptable.
*
Type your name or initials to accept
By typing my name or initials below, I indicate that I understand, and accept, that my child must provide their own properly fitting, certified bike helmet, in good condition, and that failure to provide or use this equipment may result in my child's removal from the camp at any time with no refund possible.
*
Type your name or initials to accept
By typing my name or initials below, I indicate that I understand, and accept, that my child must be able to demonstrate the bike handling skills, knowledge and appropriate behaviour required for their own safety and the safety of the group and failure to do so may result in my child's removal from the camp at any time with no refund possible.
*
Type your name or initials to accept
By typing my name or initials below, I indicate that I understand, and accept, that my child must attend every day in full and failure to complete any day will result in my child being ineligible to continue in the camp. Pro-rated refunds may only be available in the event of illness, injury or emergency; no refunds will be provided for any other reason.
*
Type your name or initials to accept
Submit Application
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