Login Username or email address * Password * Log in Register Step 1 of 5 - Contact Info 0% Contact InfoName* First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone Number*Email* Username* Password* Enter Password Confirm Password Strength indicator Personal InformationDate of Birth* MM slash DD slash YYYY Height* Weight* Emergency ContactName First Last Phone NumberRelation to Rider AbilityPlease describe your disability and level of function*Some of our equipment uses electric assist activated by a turn of the pedal or crank. Do you have a preference about Electric Assist?* I am comfortable with it I am not comfortable with it I do not know I am interested in:* Trying out a handcycle or adaptive bike Riding my own handcycle or adaptive bike as part of this program Eligibility Criteria (for participants using our bikes)Can you transfer independently or with minimal assistance (we can provide a sliding board and a height adjustable transfer seat and can offer help for balance and stability)? Yes Yes - I will bring help for transfers No Do you have (or had in the last year) a head injury or visual impairment that affects judgement, decision-making, reaction time, or depth perception? Yes No If you are interested in trying a handcycle, do you have any impairment in your elbow function? (leave blank if you don’t intend to try a handcycle) Yes No Program GoalsWhat are your goals for this program? (Check all that apply)* Meet new people Try a new adaptive activity Get into regular group rides Test out adaptive bikes for purchase Other Other Goals for ProgramHow did you hear about this program?* SCI BC Newsletter SCI BC Social Media (Facebook, Instagram, Twitter) The SPIN Magazine Friend or Family Member Other How did you hear about this program? Or Login Already have an account? Click here to log in. Don't have an account yet? Register here. Login
