Bike Fleet Reservation Form

 
Page 1 of 1
 
 Bike Fleet Reservation Form 

 
  Student Health and Wellness has a mobile bicycle fleet consisting of 43 bikes that are targeted in size for 4th-8th graders. The bikes can be used for a variety of things, such as a phy ed unit, school bike rodeo, special classroom activity, etc. Please submit your request at least two weeks in advance. As part of this grant, schools must agree to conduct an all-school student hand tally of how students traveled to and from school.
   
1.
*
 
   
2.
*
 
   
3.
*
 
   
4.
*
 
   
5.
*
 
   
6.
 
   
7.
*
 
The value must be greater than or equal to 1.
 
   
8.
*
  Select Date
mm/dd/yyyy
   
9.
*
  Select Date
mm/dd/yyyy
   
10.
 
   
 		  
 
 Done  Cancel