Bike Request for Essential Workers
The pandemic has affected how we are distributing bikes right now. If you are an essential worker, please fill out this form. If you are requesting bikes for kids, please go back to fb4kMN.org and click on the kids option.You must fill out a form in full for every bike requested.
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone *
Your answer
Where do you work? *
Your answer
What is the address of your workplace? *
Your answer
How tall are you? *
Your answer
What is your gender? *
What is your age? *
What is your home address? *
Your answer
In what ways will a bike help you? *
Required
Have you ever had a bike? *
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