Bay Area Bike Project
Complete this form for a child/youth/teen (AGES 2-18) who is currently in need of a bike (does not have the means necessary to purchase a bike). PLEASE COMPLETE A FORM FOR EACH CHILD or request will not be able to be processed.  HAPPY RIDING! Please note- at this time we cannot take requests for specific bikes-we work with our professional bike partners to find the best fit based on submission height, age, availability etc.  
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Name (Person Completing Request) *
Email (Person Completing Request) *
Phone Number (Person Completing Request) *
Child's Name *
Child's Age *
Child's Height (If available)
Tell us a little about the child/family in need of a bicycle *
Project *
Name of School/Organization ( Educator/Service Provider)
FEMA # (Fire Requests Only)
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