06/05/2026
Hooray! Bike Camp starts next week for the first session. The first month is full, but we still have 1 seat available for the week of July 7-9, 1 seat for the week of July 21-23, 7 seats for the week of July 28-30, and one seat each for the first two weeks of August. To grab one of our last available seats, copy and paste the info below into an email to [email protected]. But don't delay, we're almost full for the summer.
2026 Bike Camp Student Registration Form (ages 10 to 17)
Parent/Guardian Permission (Please print clearly)
Session Week Requested__
(registration is not complete until confirmed by staff and deposit is paid)
My child has years of experience riding a bike.
Child’s Name:
Nickname (if any): ____________________
Address:_
City:_ State: Zip:
Phone:
Date of Birth: Male:______Female:
School: Okemos School Grade:
County: Ingham email:
Child can be released to or in case of emergency, if I cannot be reached, please contact:
1. Name: Phone:
2. Name:______________________________ Phone: ______________________
My child has been diagnosed by a doctor to have:(Please check all that apply)
___Attention Deficit Disorder ____Dyslexia ____Vision Problems
___Hearing Problems ____Other (please explain) ______________________________
Special attention and/or medication: ___________________________________________________
KRP has permission to use my child’s photo in video and publications, for the purpose of advertising and promoting KRP. ****Yes ______ No______
Statement of Permission:
I would like my child to participate in the Kids Repair Program. I will not hold any person or agency connected with KRP responsible for loss or harm, including injury to my child during his/her participation in the program. I understand that KRP’s liability insurance coverage is exclusive to students only while in attendance Kids Repair Program Classes, during the times allocated on each student’s schedule and ending at graduation.
Parent/Guardian Signature: _______________________________________
Date: _______________
KRP Representative Signature: ____________________________________
Date: _______________
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