If you would like to register to Earn A Bike for Christmas, please ask your parent or legal guardian to fill out the following information. Please note that you will need a valid email address, and your parent or legal guardian is required to attend the event for you to participate the Earn A Bike for Christmas program.
As a parent or legal guardian of this participant, I understand that assembling a bicycle and bicycle riding can be dangerous, and I will not hold the Earn-A-Bike Co-op, it's sponsors, volunteers, the San Antonio Housing Authority, or anyone associated with Earn A Bike Co-op and FitZip.org responsible for anything that may happen to this child while participating at the Earn A Bike for Christmas event. In a case of emergency, Earn a Bike Coop volunteers have my permission to seek appropriate medial care for my participant. EAB Coop may use photographs or video of my child in this class for any lawful purposes without further notice. All medications and medical issues should be noted at the end of this form. One parent or guardian is required to be present during the entirety of the program for the participant to earn their bike. ALL PARTICIPANTS MUST LIVE IN THE SAME HOUSEHOLD AS THE PARENT/LEGAL GUARDIAN.