eab participant application winter spring 2015

Revolution(s) BMX Earn-A-Bike Youth Participant Application: Winter/Spring 2015

Overview

Revolution(s) is a program of Youth Unlimited (Toronto YFC), a Christian faith-based

organization. The goal of Revolution(s) is to foster a community of young leaders; to discover

purpose & passion, the value of service and a healthy way of life. Part of a healthy life includes

developing positive relationships with peers, and mentoring relationships with caring adults.

The Revolution(s) Earn-A-Bike program will take place Friday afternoons from 4-6pm,

February 27th – May 29th, 2015. The program will include discussion on character

development and instruction on bicycle assembly and maintenance. Youth will be learning

basic bicycle mechanics through refurbishing old bicycles for the community. Youth who

complete all parts of the program will earn a bicycle for themselves.

Commitment from the Youth Participant is as follows:

If accepted as a participant in the Revolution(s) Earn-A-Bike program you must

accumulate a minimum of 24 credits throughout the length of the program (one credit is

given for every hour of learning and repair logged) Adequate participation in the program,

determined by the instructors and leaders of Revolution(s), will EARN you the bike or

community service hours. The bike earned cannot be sold for one year after completing the

Earn-A-Bike program, unless approved by Revolution(s) staff.

Revolution(s)’s Three “R’s” Code of Conduct

Respect: Respect for yourself and others

CaRe: Taking care of your and others’ property

EnviRonment: Maintaining the good state of your surroundings

For more information please contact

Clement Lee: 416-508-7355 // [email protected] or Jesse James: 647-835-8062 // [email protected]


Revolution(s) BMX Earn-A-Bike Youth Participant

Application: Winter/Spring 2015

Participant’s Name: _____________________________________ Age: ________

Date of birth: _____________________

Street: _________________________________________ City: __________________

Apartment #: __________________ Postal Code: _____________________________

Phone Number: ( ______ ) _________-_____________

Social Media Contact info (facebook, twitter, instagram, etc.): ___________________

______________________________________________________________________

Parent/Guardian’s Name: _______________________________________________ Parent/Guardian’s contact number: (_______) _____________-________________ Please answer all following questions as honestly as possible – we aren’t looking for the ‘right’ answer, we just want to know more about you!

How did you hear about Revolution(s)’s Earn-A-Bike program?

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________


Why you are interested in being a youth participant in the Earn-A-Bike program?

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Do you already have a BMX bike, whether new or old?

(YES) (NO)

If (NO), you will be receiving a new BMX bike, sponsored in part by Silent Sports and Norco BMX . The make and model of the bike will be determined before each BMX Earn-A-Bike program begins, but may be different for each group of youth that participate.

If (YES), you have a choice: donate the bike back to Revolution(s) to be used as a teaching tool for other youth and receive instead community service hours equivalent to the hours spent in class. Or, you may trade in your current bike for the new bike from Revolution(s), allowing your previously owned bike to be a teaching tool for other youth participants.

Commitments

If accepted as a participant in the Revolution(s) BMX Earn-A-Bike program you must commit to

accumulating 24 credits on bicycle repair during the period of February 27th – May 29th. Adequate

participation in the program and accumulation of credits, as determined by the instructor and

leaders of Revolution(s), will EARN you the BMX bike or the community service hours. The BMX bike

earned cannot be sold for one year after completing the program, unless approved by Revolution(s).

Revolution(s)’s Three “R’s” Code of Conduct

Respect: Respect for yourself and others CaRe: Taking care of your and others’ property EnviRonment: Maintaining the good state of your surroundings


I (youth’s name) ___________________________________ will…

� treat myself and others with dignity, fairness, and respect at all times, and

especially when there is a disagreement by demonstrating honesty and

integrity;

� show proper care and regard for Revolution(s)’s property and for the

property of others, especially other Revolution(s) participants, leaders,

volunteers, and sponsors;

� respect the need of others to work in an environment of learning and

teaching, and caring for that environment by maintaining a high level of

cleanliness and orderliness

� respect persons who are in a position of authority;

� … and I affirm, with my signature below, that I will follow Revolution(s)’s

Code of Conduct and that I understand Revolution(s) is a program of Youth

Unlimited (Toronto YFC), a Christian faith-based organization. If, through

appropriate means, it is decided that I have not followed through on my

commitment to uphold Revolution(s)’s Code of Conduct then I understand

that my participation in the Revolution(s) BMX Earn-A-Bike program will be

stopped, and I will not complete the program and will, thereby, not earn or

receive the BMX bike.

Youth Participant’s Signature: _____________________________________________

Date Signed: ______________

Parent/Guardian’s Signature: _____________________________________________

Date Signed: ______________


To submit a completed Youth Participant application for Revolution(s)’s BMX Earn-A-Bike program:

1. Mail it to: Attn: Clement Lee at Spring Garden Church

112 Spring Garden Ave.

Willowdale, ON

M2N3G3

2. Or hand-deliver it to the Youth Unlimited office @ Spring Garden Church (address above)

Applications must be received by February 21st, 2015.

eab participant application winter spring 2015

Documents