Apply to Receive Bikes in December 2026
Please fill out this form to be considered to receive bikes from Free Bikes 4 Kidz Omaha in December of 2026.

Decisions as to what organizations will receive bikes, and how many, will be made by our board in November of 2026. In the meantime, we would like to gain an understanding of the quantity and sizes of bikes our applicants would ideally like to receive. 

Please fill out the below information so that we can determine how we might best meet the needs of applicants, based on the inventory we have available and the total number of bike requests we receive this year.

We are so excited for the opportunity to partner with you and to provide bikes to the kiddos you serve! Thank you for what you do for our community!
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Email *
Name of Organization Applying for Bikes *
Organization Tax ID (EIN) Number *
Name of Organization's Main Point of Contact (First & Last) *
Phone Number for Main POC (Cell Preferred) *
Email Address for Main POC *
Organization Address (Include City & Zip Code) *
What is the organization's mission statement? *
About what percentage of the youth your organization serves are on a free or reduced lunch program? 
 *
How many total bikes would your organization ideally like to receive? *
Review this bike sizing guide to help you determine what size bikes you'll need, based on the age of your kids. 
Please make sure the numbers in your following answers add up to the amount you have listed above.
How many of that total number of bikes would go to BOYS 3 years old or younger? 
If your organization does not serve this gender and/or age group, please just put N/A. 
 *
How many of that total number of bikes would go to GIRLS  3 years old or younger? 
If your organization does not serve this gender and/or age group, please just put N/A. 
 *
How many of that total number of bikes would go to BOYS who are 4-6 years old? 
If your organization does not serve this gender and/or age group, please just put N/A. 
 *
How many of that total number of bikes would go to GIRLS who are 4-6 years old? 
If your organization does not serve this gender and/or age group, please just put N/A. 
 *
How many of that total number of bikes would go to BOYS who are 7-9 years old? 
If your organization does not serve this gender and/or age group, please just put N/A. 
 *
How many of that total number of bikes would go to GIRLS who are 7-9 years old? 
If your organization does not serve this gender and/or age group, please just put N/A. 
 *
How many of that total number of bikes would go to BOYS who are 10-12 years old? 
If your organization does not serve this gender and/or age group, please just put N/A. 
 *
How many of that total number of bikes would go to GIRLS who are 10-12 years old? 
If your organization does not serve this gender and/or age group, please just put N/A. 
 *
How many of that total number of bikes would go to BOYS who are 13 years old or older? 
If your organization does not serve this gender and/or age group, please just put N/A. 
 *
How many of that total number of bikes would go to GIRLS who are 13 years old or older? 
If your organization does not serve this gender and/or age group, please just put N/A. 
 *
Comments? Questions?
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Free Bikes 4 Kidz Omaha.