Hours: 9am-6pm 7 Days a Week!
Butte House at Tharp • (530) 674-2453

 

Family SOUP's Yuba City iCan Bike Camp Rider Applicationfamsoup-logo-color

Detailed information regarding the Yuba City iCan Bike Camp can be found at icanshine.org and icanshine.org/yuba-city-ca

Upon submission of this completed form, your application will be reviewed by the Camp Director.  If your application is complete and your rider meets all of the requirements, you will be sent a link to complete the registration, select a session, process payment and electronically sign a release of liability and a photo release.

The $100 camp fee includes a helmet, t-shirt & water bottle.   

There is a Parent/Guardian Orientation: Sunday, June 11 at 2 pm at River Valley High School Main Gym (corner of Harter Parkway and Spirit Road in Yuba City).

Riders must arrive at their session 10 minutes early each day.
Parent/guardian must remain on site.

APPLICATION DEADLINE:

Extended until May 26th or full - Friday, May 12, 2017

Questions and Info:

Brian Berg, Camp Director - icanbike@familysoup.org or (530) 682-0036

Requirements for participation
(do not apply unless rider meets all requirements)

  • Minimum of 8 years of age
  • With a disability
  • Able to walk without an assistive device
  • Willing and able to wear a properly fitted bike helmet
  • Able to sidestep to both sides
  • Maximum weight 220 lbs.
  • Minimum inseam of 20” (measured from the floor while wearing sneakers) 

Session Times

Session 1: 8 - 9:15 am
Session Full: Session 2: 9:35 - 10:50 am
Session Full: Session 3: 11:10 am - 12:25 pm
Session 4: 1:25 - 2:40 pm
Session Cancelled: Session 5: 3 - 4:15 pm

Rider Application Form

    All fields marked by an asterisk are required.

    After you submit this application, we will review the information and if all of the information is complete and your rider is approved for camp, we will send you a link to complete your registration and submit payment,

  • Inches
  • Inches from crotch to floor
  • Lbs.
  • (Texting is one of our preferred methods of communication)
  • Awesome!GoodOKNot GoodImpossible
    Session 1:
    8 - 9:15 am
    Session 4:
    1:25 - 2:40 pm
    Please indicate all possible options and pick an option for each session, from Awesome! to Impossible.
  • Rider Name
  • I hereby expressly acknowledge that bicycling, 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 the above rider may be taken by parties outside the control of Shine in connection with participating in bike camp. I acknowledge that 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. As the parent/guardian of the above rider, I accept such risks as reasonable and proper, and agree to hold harmless the officers, principals, staff and volunteers of Family SOUP, iCan Shine, Inc., and Rainbow Trainers, Inc. should injury or mishap occur in this regard.

    I understand that data collected from this program will be used to help the camp operate effectively relative to appropriate progressions, bike sizing and behavior management. I acknowledge that I may be contacted in the future for follow up information pertaining to rider progress and status or for other requests to support the future development and success of the program.

  • I give permission for the above rider to be photographed and/or videotaped in print or electronic media by Shine, Family SOUP or third parties acting on behalf of Shine or Family SOUP. 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. I understand and authorize the use in writing or otherwise the name or identity of the above rider.

  • This field is for validation purposes and should be left unchanged.

Thank you to our presenting sponsors!

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