Earn-a-Bike Application
Welcome to the application page for the "Earn-a-Bike" program at the Gateway Bicycle Hub. Priority will be given to those who do not currently own a bicycle.
Email address *
Phone number *
Your answer
Full Name *
Your answer
What is your age? *
Your answer
Do you own a bicycle? *
What is your height? *
This will help us find a bike that is the right size for you!
Your answer
Describe your riding experience? (ex. # of years, comfort on bicycle, etc.) *
Your answer
Where do you prefer to ride? (ex. roads, trails, mountain bike trails, etc.) *
Your answer
What kind of bike do you want to build? *
Name of your Emergency Contact? *
Your answer
Phone number of your Emergency Contact? *
Your answer
Would you prefer to be in a module only for women, trans, and gender non-binary identifying people?
I understand that this program requires a commitment of 20 hours for completion. *
Required
I consent to this information being shared between the City of Toronto, Evergreen, The Neighbourhood Organization and Flemingdon Health Centre. *
Required
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Gateway Bicycle Hub.