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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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* Indicates required question
Name (Person Completing Request)
*
Your answer
Email (Person Completing Request)
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Your answer
Phone Number (Person Completing Request)
*
Your answer
Child's Name
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Your answer
Child's Age
*
Your answer
Child's Height (If available)
Your answer
Tell us a little about the child/family in need of a bicycle
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Your answer
Project
*
Choose
Educator ( I am an educator putting in a request for one of my students)
Service Provider ( I am a service provider putting in a request for a child)
Fire request for a victims of California wildfires
Name of School/Organization ( Educator/Service Provider)
Your answer
FEMA # (Fire Requests Only)
Your answer
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