Spring Bicycle Rodeo Parent Consent Form

Spring Bicycle Rodeo Parent Consent Form

Homestead Elementary

Dear Parents,

An in-house bicycling program is being offered at Homestead Elementary. Participation requires parental permission, and parents are invited to come and observe their children in action.

The Bicycle Rodeo will be conducted on Wednesday, May 7 from 3:15 – 5:00 pm.

Participating students are encouraged to bring their personal bicycle and helmet. A bike mechanic from Bicycle Village will be available to do bicycle safety checks.

If your child does not have a bike or helmet, one will be provided by Homestead.

South Metro Fire Rescue’s Bike Medic Team, along with the Denver Osteopathic Foundation will provide the training. Students will learn basic bicycling skills. Bicycling is a wonderful activity, good for lifelong exercise. It improves balance, physical coordination, and motor skills, and it gives the participant a good cardiovascular workout.

For your child to participate please sign and return this form to the PE office. Please direct any questions you may have to Flori Jans at or 720-554-3761

PARTICIPANT RELEASE AND INDEMNITY AGREEMENT

I hereby give permission for (participant’s NAME) ______PHONE NR. ______GRADE / TEACHER ______to participate in the bicycling activity, and in consideration of your acceptance of the application, I hereby release South Metro Fire Rescue Authority, and Homestead Elementary, and all persons associated with the Bicycle Rodeo of and from all claims or causes of action arising from injury to the participant resulting from participation in the bicycling activity, whether such injury is the result of negligence or some other cause. I have read and understand the participant release and indemnity agreement and hereby agree to its stipulations.

PLEASE CHECK ONE:

On the date outlined above and upon completion of the bicycle skills program:

_____I will arrange transportation for my child to and from the program. I will inform my child of the transportation plan and instruct my child that he/she is NOT permitted to leave on foot or bicycle upon completion of the bicycle skills program.

_____I permit my child to leave the skills program on foot/bicycle and return home unsupervised. I will inform my child that he/she is permitted to leave school unsupervised upon completion of the bicycle skills program.

Signature______Date______

(Parent or Legal Guardian signature)