Earn-A-Bike@EmmausBibleChapel | 6 p.m. Tuesdays July 21 to August 25
Please read and fill out this BWorks registration for this Ferguson-based BWorks bike class carefully, and be sure to put the six two-hour class sessions and the park location on your calendar! We're excited to be bringing Earn-A-Bike back to Ferguson thanks to great partners in Emmaus Bible Chapel and Great Rivers Greenway. Our dedicated BWorks staff and volunteers put a lot of time and energy into each cohort, and it's important that you help us honor the commitment of all involved by making the six class sessions a priority for your child(ren). Questions? Email evie@bworks.org
Please read before beginning this form...
Earn-A-Bike is a free, hands-on class that teaches basic bicycle maintenance and safety along with life skills including communication, teamwork and responsibility to children ages 8 to 17 who already know how to ride a bike. After completing six two-hour classes, participants earn a bicycle of their choosing, plus a brand-new helmet, light set and lock they take home on the last day. Youth who commit to this series under the guidance of dedicated BWorks instructors will meet at Emmaus Bible Chapel (900 Highmont Dr, Ferguson, MO 63135) six Tuesday evenings at 6 p.m. (with each class ending at 8 p.m.) from July 21 to August 25. Up to two children from within a single household can be registered within the same cohort; two per household is the limit. (If registering two children, please fill out the form below twice, one time for each student.)
Parent/Guardian Name
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First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Cellphone
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Format: (000) 000-0000.
Student Name
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First Name
Last Name
Student Gender
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e.g., male / female / nonbinary
Is English the primary language spoken in your home? If not, what is your child(ren)'s first language?
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Does your child have any allergies or medical conditions our staff and volunteers should be aware of? (please specify)
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e.g., peanut allergy
Student Height
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If you're not exactly sure, an estimate is great!
Student Age (as of the first day of this class series)
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St. Louis BWorks serves students ages of 8 and up.
Where does your child go to school?
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Student's Ethnicity
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This six-week bike class is headquartered at Emmaus Bible Chapel in Ferguson, from 6 p.m. until 8 p.m. on Tuesdays starting July 21. It runs each Tuesday evening through August 25.
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I understand the time, place and dates of this Earn-A-Bike course, and I am placing the dates, times and locations on our calendar now so that we stay committed to our student consistently attending the six sessions of the class.
Earn-A-Bike classes are specifically geared for children ages 8 to 17 years old, and students must already be able to ride independently on two wheels in order to participate. (NOTE: BWorks offers a separate course, Learn-To-Ride, for children and teens ages 8 to 17 who still need to learn to ride a bike.)
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I understand and confirm that my student is old enough for this class and able to ride a bike independently (without training wheels or other assistance). I also understand that if my student begins the course without knowing how to ride a bike, my student may not be able to complete the course or take home a bike, since this specific class is designed for youth who already know how to ride a bike.
The BWorks team and community partners put a great deal of time, effort, imagination and labor into each Earn-A-Bike series. It's important that student participants and their caregivers honor that with consistent, engaged attendance.
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I understand how important this commitment is, as does the student I am registering. We understand there are limited spots, and we commit to making this class a priority to help make this series a success for everyone involved.
Student's Primary Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
St. Louis BWorks Program Permission, Liability, Medical and Photo Release Form
I understand and have read the above St. Louis BWorks Program Permission, Liability, Medical and Photo Release Form.
Submit
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