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INCLUSIVE LEARN-TO-RIDE
PROGRAM APPLICATION

"*" indicates required fields

Organization Information*

Mailing Address*

Contact Information

Name*
Would you like to receive our newsletters?*

ORGANIZATION INFORMATION

The Inclusive Learn-to-Ride standard fleet is (8) 20 inch bikes, but we can accommodate up to (4) 14 inch bikes if needed for your organization's demographic. Please make your selection below.

Check 'yes' if requesting a standard fleet of (8) 20 inch bikes
14 inch bike quantities available: 1, 2, 3, or 4. The rest of your fleet will be made up of 20 inch bikes.
Invoicing Information*
Do you need an invoice for payment processing?
Social Permission*
Do we have permission to share your school's fundraising page on our social media pages (i.e., Facebook, Instagram, etc.)?
Success Press Release Permission*
When your organization receives the program, we would love to celebrate with your community. Do we have permission to distribute a local press release announcing that your organization will soon launch the Inclusive Learn-to-Ride Program?

Proof of 501(c)(3) or Government Entity Status*

Strider Education Foundation is a 501(c)(3) nonprofit and can only fulfill programs with nonprofit organizations, not-for-profit schools and public school systems. If you have any questions about eligibility, please email info@allkidsbike.org or call (605) 956-3877.
Max. file size: 8 MB.

By signing below, I certify that the information contained in this application is true and correct to the best of my knowledge.

Signature of Applicant

Date

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