Requesting Support for Walk!Bike!Fun!

Please let us know how we can help you teach children safe bicycling and walking skills by completing the form below. In order to serve you best, please be as complete and as detailed as possible. The Bicycle Alliance of Minnesota's vision is to make "Minnesota a place where bicycling is easy, safe, and fun for everyone." We believe that more people bicycling more often will benefit the health of individuals, communities, the environment and our economy.

To learn more about the curriculum and download it for free, click here.

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Contact Information

First Name Last Name

Street Address (Optional)

Postal Code City State

Email Mobile Phone (Optional)

Yes, sign me up for email updates.

Remember me so that I can use FastAction next time.

(Optional)

Additional Information

Community or School Name:

Job title or affiliation:

% of free and reduced lunch eligible students

Find school district statistics here: www.bikemn.org/storage/documents/Documents/Education/mn_public_school_list_eligible_students_fall_2015.xls

What grade levels will be served by this request?
What grade levels will be served by this request? is required.

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eighth Grade

Other Other (Optional)

What is the expected number of students served by this request?

Have you attended a Walk!Bike!Fun! Curriculum Training?

Yes No Not Sure

Which of the following methods of support are you requesting?
Which of the following methods of support are you requesting? is required.

Phone Coaching - assistance by phone to troubleshoot known or potential issues

Co-teaching - in-person assistance for implementing lessons

Basic Bike Maintenance Training

Volunteer Contact Request - request contact info for trained WBF Ambassadors or League Cycling Instructors

Assistance with accessing resources - requests for supplemental materials or curriculum references

Volunteer Training and Recruitment - assistance with support for volunteers

Presentation or Public Speaking - request for BikeMN staff to present information related to WBF or Safe Routes To School program

Other Other (Optional)

Please provide any additional details that will help us fulfill your request. (Optional)

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