FALL 2025 After-School

FALL 2025 After-School | Earn-A-Bike

For Youth Participants Ages 9–11
PROGRAM DATES (5-Week Session)

SESSION #1: Sept. 23 – Oct. 23, 2025 (SESSION #1 IS FULL) SESSION #2: Oct. 28 – Dec. 4, 2025 (Tuesdays and Thursdays), 4 pm - 6 pm Selected participants are only allowed to attend one session.
Blackstone Bicycle Works 2025 FALL Earn-A-Bike Workshop Series is a free after-school youth program of Experimental Station, offering participants from disadvantaged communities on Chicago’s South Side opportunities to learn bike mechanics, bicycle advocacy, cycling, STEAM, and career & workforce development.

Join our After-School Bike Workshop! In this hands-on workshop series, participants will learn essential bike maintenance and repair skills, from fixing a flat tire to tuning gears. Throughout the program, participants will work on bikes, gaining practical experience and confidence. As a reward for their hard work, they'll earn their very own bike to keep at the end of the session. Perfect for those eager to build something they can truly call their own!

Session Dates:

After-School:

SESSION #1 SEPTEMBER 23 - OCTOBER 23 (SESSION #1 is FULL)

SESSION #2 OCTOBER 28 - DECEMBER 4

Days: Tuesdays and Thursdays

Time: 4:00 pm - 6:00 pm

Participants will learn bicycle mechanics, maintenance, repairs, and safety while working alongside PRO instructors and industry professionals. As they progress, there will also be opportunities for paid internships and apprenticeships at Blackstone, as well as paid externships at professional bike shops across the city.

BBW’s After-School program also includes STEAM learning experiences (Science, Technology, Engineering, Art, and Math), food education, cycling training, group bike rides, art projects, field trips, and college & career training.

To ensure hands-on learning, each session is limited to eight (8) participants. Selection is based on registration date and alignment with BBW’s mission, with priority given to participants who live on the South Side of Chicago and come from underserved communities.

We aim to create an inclusive community, prioritizing youth from Woodlawn and surrounding neighborhoods. We welcome participants who may feel underserved and those with limited access to resources due to factors like racial/ethnic identity, social/economic class, religion, gender identity and expression, disabilities, size, or sexual orientation.

If you’re not selected this time, you’ll be placed on a waitlist and notified. You are encouraged to apply again for future sessions.

Your privacy matters: All information shared is confidential. Some questions are required by our funders, while others help us better serve our youth.

Incomplete registrations will not be accepted.
THANK YOU for your interest in applying for the 2025 Blackstone Bicycle Works FALL After-School | Earn-A-Bike Program for youth 9-11 years of age. Please complete this form and reach out with questions or application support anytime.
Program Session Preference
Please choose one of the two available sessions. Participants may only attend one session during the fall program.*

SESSION #2: OCT. 28 - DEC. 4
Participant Information
Name of the participant (Youth's Name)*

First NameLast Name
Are you a returning participant?*
PLEASE NOTE: Returning participants who have previously earned a bike in past programs will not be eligible to receive a bike again.
Date of Birth of the Youth*

MonthDayYear
Date
Age of Participant*
Participants email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Participants' Approximate Height and Weight (for bicycle sizing purposes) *
Does the youth participant know how to ride a bike?*
What school does the participant attend?*
What grade is the participant in?*

3rd Grade4th Grade5th Grade6th Grade
Sex/Gender Identity*

MaleFemaleNon BinaryTransgenderPrefer not to answer
Race/Ethnicity*

Black/African American/Africa DiasporaLatin/HispanicAsian/Pacific Islander/Asian DiasporaNative/First Nations/IndigenousMiddle Eastern/Arab/North AfricanWhite/CaucasianOther
T-Shirt Size*

SMLXLXXLXXXL
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Relationship to the participant?*
Phone Number *
Please enter a valid phone number.
Email*
example@example.com
Preferred Contact Method?*

EmailPhone
Medical Help, Accommodations, and Dietary Restrictions
Medical Help- In the event of a serious injury or illness, may Blackstone Bicycle Works or Experimental Station staff seek immediate medical attention for the participant?*

YesNo
Medical Help Alternatives: If NO please specify what action we should take. In general, we will first attempt to contact a parent or guardian, then medical professionals.
Are any accommodations needed for the participant? Is there anything that you believe would be helpful for the counselors to know to enhance the experience of your child? (Accommodations will not be a basis for a child to not be selected).
Dietary Restrictions/Allergies - As a reminder, snacks will be provided.*
Waiver Signatures
Liability Waiver:

In consideration of my/my child's participation in Blackstone Bicycle Works’ program, I, PARENT* ,agree to release and on behalf of myself, my heirs, representatives, executors, administrators, and assigns, HEREBY DO RELEASE the Experimental Station, an Illinois not-for-profit corporation D.B.A. Blackstone Bicycle Works, its officers, agents, and employees from any cause of action, claim, or demand of any nature whatsoever, including but not limited to, a claim of NEGLIGENCE, which I, my heirs, representatives, executors, administrators and assigns may now have, or have in the future against the Experimental Station, an Illinois not-for-profit corporation D.B.A. Blackstone Bicycle Works, on account of bodily injury, property damage, death or accident of any kind, or any other liability whatsoever, arising out of or in any way related to my participation in Blackstone Bicycle Works’ youth program, including, but not limited to, use of tools in the shop, bicycle field trips, and bicycle-related competitions. I hereby certify that I have full knowledge of the nature and extent of risks inherent in bicycling, including all manner of injury resulting from falling from a bicycle onto the concrete pavement, and that I am voluntarily assuming the risks. I understand that I will be solely responsible for any loss or damage, including loss of limb or death, which I sustain while participating in any of Blackstone Bicycle Works’ youth program activities, and that by this agreement, I am relieving the Experimental Station, an Illinois not-for-profit corporation D.B.A. Blackstone Bicycle Works of any liability for such loss, damage, or death.
No Cell Phone or Electronic Device Policy
Blackstone Bicycle Works (BBW) has a strict No Phone or Electronic Device Use policy during program hours. All participants are required to keep their phones and other electronic devices put away from 4:00 PM to 6:00 PM.
Participants are solely responsible for their personal devices. BBW is not responsible for any lost, stolen, or damaged property, including cell phones, cameras, gaming devices, headphones, or similar electronics.

I have read this form and fully understand that by checking the box, I am giving up legal rights and/or remedies that may be available to me. I acknowledge that I have assumed responsibility and legal liability for the claims or other legal demands, including defense costs, which may be asserted by other third parties against me as a result of my participation in these activities.
Signature*

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Publicity Waiver OPTIONAL:

I give permission for my youth's picture and/or words to appear in Blackstone Bicycle Works or Experimental Station published and electronic materials and communications (such as newsletters, flyers, brochures or websites). If you wish to decline please type the word "decline" into the textbox instead. You will still be able to participate in our program even if you do not sign.
Signature

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By signing this agreement, I understand and agree to the following terms:

1.  Authorization: I authorize   First Name   Last Name to independently sign in upon arrival and sign out upon departure from the Fall "Earn-A-Bike" Program premises each day.

2.  Responsibility: I understand that it is my responsibility to ensure that my child arrives and departs the program according to the designated schedule and that the Blackstone Bicycle Works (BBW) staff will not be held responsible for incidents occurring outside of program hours.

3.  Emergency Contact: I will provide accurate emergency contact information to BBW, and I understand that the BBW will contact me immediately in case of an emergency or if my child fails to arrive or depart as scheduled.

4.  Behavior and Compliance: I acknowledge that my child will follow all program rules and regulations and will conduct themselves in a manner that is safe and respectful to others.

5.  Changes or Revocation: I understand that I may revoke this permission at any time by notifying BBW in writing.

6.  Liability Waiver: I acknowledge that while BBW will take all reasonable precautions for the safety and well-being of participants, they cannot be held liable for any accidents, injuries, or losses that may occur during the program activities, including during the signing in and out process.
Signature*

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FALL 2025 After-School | Earn-A-Bike

PROGRAM DATES (5-Week Session)

THANK YOU for your interest in applying for the 2025 Blackstone Bicycle Works FALL After-School | Earn-A-Bike Program for youth 9-11 years of age. Please complete this form and reach out with questions or application support anytime.

Program Session Preference

Participant Information

Parent/Guardian Information

Medical Help, Accommodations, and Dietary Restrictions

Waiver Signatures