Winnebago County 4-H Bicycle Rodeo

Join us for a Youth Bicycle Rodeo on Saturday, June 29, 2024, from 10am to noon at the Winnebago County Fairgrounds, Building 4, 500 W. 1st Street, Pecatonica. Participants will rotate through bicycle stations, including a bicycle check-in/ mechanical station & helmet inspection, Rules of the Road overview, intersection safety, and bicycle riding safety track. All the participants will then ride as a group around the fairgrounds and conclude with a hot dog, chips and drink lunch for the participants, courtesy of the Pecatonica Lions Club.
This event is open to ANY youth ages 5-18 years of age. You do NOT have to be in 4-H to register!

Two participants will go home with brand-new bikes from The Bicycle Hub in downtown Pecatonica and a goodie bag!

There is no fee to participate.

This program is a collaboration with Winnebago County 4-H, The Bicycle Hub in Pecatonica and the Pecatonica Lions Club.

Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

Registration

1 participant

[1 of 50 filled]

If you need a reasonable accommodation to participate in this program, please list below.

Will you bring your own bicycle and helmet to the Bicycle Rodeo?

Yes, I will bring my own bicycle and helmet.

No, I will need a bicycle and helmet provided to me.

I will bring a bicycle, but need a helmet provided to me..

If you selected NO, I will NOT be bringing my own bicycle and helmet, please provide the participant's height and weight measurements. This is so the organizers can provide a appropriately sized bicycle for your child.

Please enter name, age, and grade level of participant.

Are you currently enrolled in 4-H?

Yes, I am currently enrolled in 4-H

No, I am not enrolled in 4-H

If you are currently enrolled in 4-H, Please list your 4-H Club (and county if outside of Winnebago County)

Where does participant live?

Farm

Rural/ Small Town

Town (10K-50K)

Suburb

City (50K+)

I grant the University of Illinois Extension 4-H Youth Program, irrevocable permission to record and/or disclose my child's identity, image, and voice arising out of documenting 4-H youth programs and to use, reproduce, and distribute such in whole or in part in video and/or sounds recordings, films, photographs, transparencies, web pages, social media, local news media, or any other media for any purpose on behalf of the University and Extension without compensations to me and without any right for me to inspect or approve of the finished photograph, video, or audio recordings or other recordings. Any and all photographs, videos, or audio recordings will remain the property of University of Illinois Extension - Winnebago County used strictly for the promotion of 4-H and will not be given or sold to outside solicitors.

YES, I do hereby grant the 4-H Youth Program and University of Illinois Extension the permission to disclose my child's identity and to reproduce and distribute photographs of my child taken at the Youth Bicycle Rodeo for educational or promotional purposes.

NO, I would not like my child's photograph to be printed in promotional materials.