Request edit access
Fix a Bike, Get a Bike Free Program (FABGAB) Participant Application Form 2026

Thank you for your interest in the Fix a Bike, Get a Bike Free Program (FABGAB) with Colored Girls Bike Too!

This is a hands-on bicycle education and mobility access program where participants choose a bike, learn how to repair and build it with support, and take it home upon completion, the same day.

Each session is approximately 2 hours. If more time is needed, participants may return (by appointment) for additional sessions or continue the same day if time allows.

Participants will have access to tools, equipment, and support from trained staff and volunteers.

Light snacks and water will be provided.

Helmets, locks, and accessories may be available through donations or low-cost options when available.

📍 Location: Holistic Cycles Bike Shop
1353 Jefferson Avenue, Buffalo, NY
📅 By Appointment Only - once you state the day and time that you are free, we will call/text you to schedule the appointment. 

Sign in to Google to save your progress. Learn more
Email *
Name, Pronouns *
Phone Number *
Zip Code *
Social Media Handles
Preferred Method of Contact *
Required
Where do you live? (If you do not have housing, please feel free to state so, we will do our best to connect you to resources)
 *
This program is by appointment only. What day between Monday and Saturday are you free a week from today? *
MM
/
DD
/
YYYY
This program is by appointment only. What is a back day and time you are free week from today? *
MM
/
DD
/
YYYY
This program is by appointment only. What time between 1 pm and 6 pm are you free? Session are only for 2 hours.  *
Time
:
Are you able to commit to attending multiple sessions if needed?
(Multiple choice) *
Do you currently have access to a bicycle?   *
What is your experience with bike repair?
Clear selection
Why are you interested in the FABGAB program?
(Paragraph response) *
What do you hope to gain from this program? (Check all that apply)
(Checkboxes) *
Required
Do you need any support to participate in your bike build session?
(Check all that apply)   *
Required
Do you have any accessibility needs or accommodations we should know about?
 *
Needs/Allergies/Health Limitations *
Is there anything else you would like us to know?   *
Are you able to send a donation? Donations will help us provide food and other essentials for the event! (cashapp) $coloredgirlsbiketoo *

By submitting this form, I understand:

This is a hands-on bike repair learning program. I will receive tools and support during the session Sessions are approximately 2 hours and may be extended if needed. I may return for additional time if required. A bicycle is provided upon successful completion.

I agree to participate under these terms*

 *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms