Springfield Police Division's Bike Rodeo | City of Springfield Ohio Official Website

Applicant Details

Child's Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

The participant is able to proficiently ride a bicycle without training wheels.(Required)

Yes

All participants are required to be able to proficiently ride a bicycle without the assistance of training wheels. Clicking "No" disqualifies you from participating in this clinic. Thank you for your interest.

The participant’s bicycle is in good condition, including tires, chain, and brakes.(Required)

Yes

The participant will be required to wear a helmet.(Required)

Yes

The participant is between the ages of 6 and 13 years old.(Required)

Yes

The participant is physically capable of riding a bicycle for up to one hour at a time. (Participants will ride on a bike path; ages 6–8 will ride approximately 30 minutes per ride.)(Required)

Yes

Gender(Required)

Child's Date of Birth(Required)

MM slash DD slash YYYY

Child's Age(Required)

Child's Shirt Size(Required)

School(Required)

Grade(Required)

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List Any Allergies or Medical Conditions Child Has(Required)

List Any Unusual Conditions Or Dietary Needs(Required)

Emergency Contact Name(Required)

Relation to Participant(Required)

Day Phone(Required)

Night Phone(Required)

If I Cannot Be Reached, Contact:(Required)

Relationship(Required)

Phone(Required)

Consent(Required)

I AGREE

I understand that photographs and/or video may be taken of the applicant, a minor, during the course of the subject event or program. I hereby give my permission for those likeness and and the minor's voice to be reproduced for promotional purposes or rebroadcast. This will be used for the Springfield Police Division's Bike Rodeo 2026.

If I cannot be reached, I hereby give my permission for emergency medical treatment or surgery as recommended by the attending physician. As Parent/Guardian, I will assume all responsibility for medical costs incurred by the applicant.

Consent(Required)
I AGREE
I understand that by signing this application, the participant listed agrees to comply with the code of conduct required for participation, and any failure to comply is the responsibility of the parent or legal guardian.

Signature (Parent or Guardian)(Required)

Name of Parent/Guardian(Required)

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Springfield Police Division's 2026 Bike Rodeo

Applicant Details

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