We are excited about your desire to get kids on bikes in your community! Share your basic information below and we will be in touch.

Name *

Name

First Name

Last Name

Email Address *

Phone *

Phone

(###)

###

####

Where do you want to start a chapter? (please list city and state)

How did you hear about Trips for Kids?

Why do you want to become a Trips for Kids chapter?

What is the youth demographic you intend to work with (i.e. race, age and socio-economic status)? Make sure to include their age range.

Please list the program(s) are you interested in offering in your area.

Discovery Trail Rides, Adventure Clubs, Earn-a-Bike Workshops, Youth@Work, Mobile Bike Clinics, ReCyclery Community Bike Shop, Other (explain)

How will you encourage youth to participate in your program(s)? Please describe your marketing and outreach efforts.

How many times per year do you plan to conduct rides, workshop sessions or clinics?

(Note : We require a minimum of 12 rides or sessions per year.)

What is your anticipated number of kids per ride/class/clinic?

Any additional information or questions you would like to share with us?

JOIN THE FAMILY