Bike Walk Indian River County, Inc. (BWIRC) provides free bikes and helmets to people who meet the following criteria
Under 18 years old and not able to afford to purchase a bike on your own,
18 or older, do not have access to reliable transportation, need a bike to get to work or school and not able to afford to purchase a bike on your own.
In order to receive a free bike you must complete this form (Step 1) and them complete one of our free on-line bike safety courses (Step 2). The bike safety courses are accessed through the Bike Walk Indian River County web site at http://bikewalkirc.org. After your complete this form, please visit our web site to complete the safety course so that you will be eligible to receive a free bike.
In order to confirm your eligibility to receive a free bike, this application must be reviewed by one of our community partners:
Camp Haven, Inc. 3256 US-1 Vero Beach, FL 32960 Email: firstname.lastname@example.org Phone: (772) 999-3625 Contact: Chuck Bradley
We will automatically submit this application to whichever one of our community partners you would like to review this application. Which of the following community partners would you like to review this application? *
What is your name? *
Note: You must provide your full name in order to receive a free bike.
What is your email address? *
Note: You must provide a working email address in order to receive a free bike.
What is your cell phone number? *
Note: You must provide a working phone number in order to receive a free bike.
Important Note: The person submitting this application must be 18 years old or older, however, if you are 18 or over, you may submit this application for a child under 18.
Are you applying for a bike for yourself or for your child? *