Ride 2 New Heights - Bike Camp Information June 8 12, 2015 Summit Academy High School in Bluffdale, Ut

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1 Ride 2 New Heights - Bike Camp Information June 8 12, 2015 Summit Academy High School in Bluffdale, Ut Thank you for your request for information on our Ride 2 New Heights/iCan Bike camp scheduled for June 8 12, 2015 at Summit Academy High School in Bluffdale, Ut. There are three steps to register for the bike camp: 1. Read and review the information contained in this document, ensuring that your rider qualifies and that you are able to comply with all parental responsibilities. Then fill out Rider Registration Form (included below). 2. Process credit card payment information 3. Prepare for bike camp by purchasing the right bike and helmet We are very excited to host an ican Ride bike camp and look forward to your participation. Click the below link for access to the ican Bike website for more information and to view a number of short videos of the ican Bike camp: To give you an overview, there are approximately 40 riders in the total camp. Because there are five 75-minute sessions each day, there will be no more than 8 riders at any one time at camp which ensures more individualized attention for your rider. Each rider attends the same 75-minute session for each of the 5 days (M F) and is assigned two volunteers that will work with the rider throughout the week. This works great because bonds are formed between the volunteers and riders that is helpful for encouragement and motivational purposes throughout the week.

2 Also, because the riders often have emotional and/or mental disabilities, it is often comforting for them to work with the same volunteer each day rather than seeing a different face. Finally, it is very rewarding for the volunteer to have spent the whole week with the child to see the fruits of their labor on the last day when the child finally rides independently. Daily 75-Minute Sessions: [8:30 am 9:45 am] [10:05 am 11:20 am] [11:40 am 12:55 pm] [2:00 pm 3:15 pm] [3:35 pm 4:50 pm] The riders will be riding a specialized bicycle designed to teach them to balance appropriately for the entire 75 minutes each day while being accompanied by their assigned volunteers. Additionally, camp staff will provide fun motivational teaching on a specially designed tandem bike that is generally well received by most riders. The first two days of the bike camp (Mon & Tues) will take place solely inside on adapted roller bikes. Beginning on the third day (Wed), some riders may graduate to a two-wheel bike and transition to riding outdoors spotted by their assigned volunteers. As riders graduate from the roller bikes to a two-wheel bike between Wednesday and Friday, they will transition to the outdoor riding area. To register for bike camp, the registration form must be completed and payment processed. The registration form allows you to select your preference of session times, but these times are not guaranteed. You will later receive an with confirmation of the session your rider will attend. Here is some pertinent information for you to know in advance of camp: What do I need to bring to Camp? a properly fitting bike helmet; comfortable gym clothes (shorts, t-shirt and sneakers or other closed toe shoes);

3 water bottle or drink for short breaks; beginning on Day #1 (Monday) but no later than Day #4 (Thursday) the rider s personal bicycle is to be brought and left at Camp for use Thursday and/or Friday. Our goal is to transition riders from our adapted bicycles to their own personal bicycle on Day #4 or #5 (depending on their individual progress). Should I purchase a bike before Camp? As discussed above, all riders will need a personal bike delivered to camp by no later than Thursday. Most participants will require a new two-wheel bike. Please see document titled Purchasing The Right Bike & Helmet. It includes a list of bike basics as well as a list of bikes identified as appropriate for new riders developing and generalizing skills. If you choose to purchase a bicycle before camp, please note the following recommendations to make the bike easier and more comfortable to ride for people with disabilities: single speed bikes are recommended (e.g., Beach Cruisers are a good choice) shorter radius of pedal shaft (easier to pedal) lower/compact frame to step over when getting on and off the bike; wider seat (more comfortable and easier to balance the rider) noticeable height difference between the handle bars and seat for a more upright posture (makes it easier to steer and control) 20 bikes should have only one hand brake connected to the back wheel 24 and 26 bikes may have either one or two hand brakes a coaster brake is a good idea for all size bikes to prevent the pedals from rotating backwards which can be confusing for the rider while providing an additional braking method Also, please click on the below link to visit the Parent s page of the ican Shine website which provides lots of helpful information and an 8 minute informational video on what to consider in purchasing the right bicycle for a person with a disability:

4 Where should I purchase a bike? We discourage purchasing bikes from large non-bike shop retailers such as Toys R Us, Wal-Mart, Target, etc Generally, such bikes are of inferior quality to those sold at local bike shops and develop more problems for the rider. Additionally, if your rider s bike needs adjustments, modifications or has technical problems, it will be challenging to have this addressed by a retailer that is not set up as a bike shop. I am pleased to tell you that we have a local bike shop partner who is well versed in how to fit your rider with the appropriate bicycle. Our bike shop partner is: Canyons Bicycles at 762 East South, Draper, Ut (801) We highly recommend you purchase your bike from Canyons Bicycles as we have educated them on how to properly fit bicycles for people with disabilities. When communicating with or visiting Canyons Bicylces, please identify yourself as an ican Bike participant and bring your rider so Canyons Bicycles knows to follow the ican Bike guidelines in fitting your rider with the right bicycle. Also, for your convenience, Canyons Bicycles has agreed to offer a full refund on a bicycle purchased for the bike camp if for any reason the rider is unsuccessful in learning to ride the bike. Canyons Bicycles has also agreed to give a 50% discount on any bike helmet purchased. Is there an Orientation Meeting? There will be an orientation meeting for parents/guardians and volunteers on Sunday, June 7 th at 7 pm at Summit Academy High School. We ask that riders not attend the orientation meeting. The first 30 minutes of the orientation will be an overview of the bike program and how the camp operates as well as a Q&A session. Then we will break the orientation into two parts whereby volunteers will be trained to spot riders while parents/guardians will be given more specific information about purchasing a bicycle suited for their rider and have more of an opportunity for Q&A with the Shine bike technician.

5 How Can Parents/Guardians Help During the Week? We ask that you stay on site during the 75 minute session each day. This is for emergency purposes, personal care for your rider, and so that you don t miss their special achievements and success. On the last day of bike camp (Friday), we ask that a family spotter come to camp wearing appropriate shoes and clothing and ready to run with their rider if it appears their rider may need spotting after camp. The Shine staff will meet with you individually to discuss your rider s skill level and a plan for post camp riding and spotting. How Parents & Guardians Can Help Refer to our website where we have many videos of our bike camps on our home page. Riders can see pictures of roller bikes and watch videos to see what they will be doing during the program. Limit anxiety by arriving 5-10 minutes before the session start time to sign in, get a name tag and meet and greet your rider s assigned volunteers. Be prepared snack, water and restroom stop before your session. Make sure to attend all 5 days of the program. Every day is important. Make sure rider has a properly fitted bike helmet. Dress rider for bike riding (shorts, t-shirt, sneakers). No open toe shoes are permitted. Baggy pants, and long skirts or dresses are prone to catching in the wheels, gears or chain of the bike and pose a safety hazard. Make sure the rider gets adequate sleep & nourishment. It s hard work riding a bike for 75 minutes. Parents or guardians may be asked to leave the riding area if their presence is a distraction to the rider s ability to remain focused. Please don t take it personal as our mutual goal is to get your rider riding by

6 the end of the program. We will consult with you and make this decision together. No biking at home this week. Only biking at the bike program. Do not introduce any new activities this week because we do not want to overload the rider with too many new skills. Learning to ride a bike takes a lot of motor planning and processing. Talk about each day s activities at home. Help set goals for the next day (e.g., number of laps, time on the bike before breaks, etc.) Discuss rewards for riding (immediate and long term). We encourage non-food related rewards. If rewards are food, then we ask you to save it until after the session ends. We prefer a guardian remain on site during the program in case of emergency and to offer support to their rider. You won t want to miss the progress your rider makes and the first time they are on two wheels! After the program week many riders will still need the assistance of a person running alongside. Identify this person and have them at camp on Friday, dressed for running. ican Bike staff will train your family designee to spot the rider. Celebrate! It is quite an achievement learning to ride a two-wheel bike in only 5 days. Take photos and share them with friends and family and on our Facebook page. Bring family members on Friday to join in the celebration Is my Registration Fee Refundable? The refund policy for the camp is; a refund must be requested by April 30, 2015 to receive a full refund, less a $25 administrative fee. If you are unable to attend the camp at any point, please contact the Camp Director as soon as possible so that a rider on the waiting list can register. Are there any scholarships being offered?

7 There are five scholarships available based on financial need. Please camp director if you would like more information on applying for one of these scholarships. We will be in touch periodically between now and camp through . We look forward to the opportunity to work with your child! If you have questions, please contact us at or Sincerely, Steven & Sally Palmer Ride 2 New Heights Program Directors Bike Camp Hosts United Angels Foundation Direct: Fax:

Rider Registration Form Ride to New Heights June 8-12, 2015 Summit Academy High School Bluffdale, Ut $199 Registration Fee We are pleased to offer this bike program to people with disabilities and

8 Rider Registration Form Ride to New Heights June 8-12, 2015 Summit Academy High School Bluffdale, Ut $199 Registration Fee We are pleased to offer this bike program to people with disabilities and look forward to helping your family member learn to ride a two-wheel bicycle independently. Requirements for Participation (Rider must meet all of below criteria): Minimum of 8 years of age Able to sidestep to both sides Have a disability Able to attend camp all 5 days Able to walk without assistive device Maximum weight 220 lbs. Willing and able to wear a properly fitted bike helmet Minimum inseam of 20 (measure from floor while rider is wearing sneakers) ***All fields are required. Registration will not be accepted if this form is incomplete.*** Rider Name: Rider Gender (M or F): Rider Date of Birth: Rider Height: Rider Weight: Rider Inseam (inches from floor while wearing sneakers): Rider T-Shirt Size: Parent/Guardian Name: Parent/Guardian Parent/Guardian Phone: Rider/Family Information: 1

9 Parent/Guardian Cell Phone: Home Address: Emergency Contact Name: Emergency Contact Phone: Primary Diagnosis: Secondary Diagnosis, if any: Disability Information: Please provide detailed information regarding the above diagnoses that will help us work with the rider effectively (box will expand if more room is needed): Rider Food Allergies, if any: Health Information: Please explain any health/medical conditions or health concerns and any special instructions (box will expand if more room is needed): Choose A Session: Please number each session in order of preference (i.e. 1st, 2nd 3rd). Only mark the sessions you are able to attend: Session #1: 8:30 am 9:45 am Session #2: 10:05 am 11:20 am Session #3: 11:40 am 12:55 pm Session #4: 2:00 pm 3:15 pm Session #5: 3:35 pm 4:50 pm Payment Information: Payment of the camp fee is required to process the registration form. Please include check of $199 payable to United Angels Foundation OR complete below Credit card information: 2

10 Name on Credit Card: Credit Card #: Expiration Date: Security Code: Rider Information: This information helps camp staff & volunteer spotters assigned to work directly with the Rider understand and better serve the individual needs of the Rider. Rider Name: Nickname, if any: Age at Time of Camp: Diagnosis (optional): Please place an X in the box that most appropriately describes the Rider: Generally speaking, the Rider. Yes Sometimes No can communicate his/her needs when upset, can manage his/her emotions follows simple directions cooperates with others Is comfortable with physical queues/prompts responds positively to playful banter benefits from use of pictures to convey meaning gets frustrated easily has trouble staying focused gets upset by visual or audio stimuli (eg. bright lights, loud noise) gets upset by background noise such as music or talking Comments/Additional Information (box will expand if more room is needed): Please answer each of the following questions (boxes will expand if more room needed): 1. What strategies do you use to promote positive behavior and/or discourage negative behavior that will enable us to work safely and successfully with the rider? 2. What are favorite activities, movies, music, hobbies or other interests of the rider? 3

11 3. Has rider attended an ican Bike program (formerly Lose The Training Wheels) previously? If yes, when and what was the outcome? 4. Has he/she ridden with training wheels? If yes, please provide a brief history. 5. Has rider experienced a bicycling accident? If yes, please explain. 6. Through participating in this ican Bike program, what are your expectations for your rider? 4

Rider Liability Release Rider Name: By signing, I hereby expressly acknowledge that bicycling, like many sports such as swimming, golf, soccer, and gymnastics involves movement and physical activity,

12 Rider Liability Release Rider Name: By signing, 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 United Angels Foundation, Premier Credit, 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, status or for other requests to support the future development and success of the program. Parent/Guardian Signature: I give permission for the above rider to be photographed and/or videotaped in print or electronic media by Shine or third parties acting on behalf of Shine. 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. Parent/Guardian Signature: Submission Instructions: Please mail this completed registration form to: *Payment will be made online via credit card when you register. If you are unable to pay with a credit card, please contact the host prior to mailing a check. Ride 2 New Heights c/o Steven & Sally Palmer Milona Drive, Draper, UT or to ride2newheights@unitedangels.org 5

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