INCLUSIVE LEARN-TO-RIDE
PROGRAM APPLICATION

"*" indicates required fields

Organization Information*

Legal Name of Organization*

EIN**

Organization Phone*

Website**

Mailing Address*

Mailing Street Address*

Address Line 2

City*

State**

Postal / ZIP Code**

Contact Information

Name*

Contact Title**

Contact Phone*

Contact Email*

ORGANIZATION INFORMATION

Year Founded*

Mission Statement*

Estimated number of individuals that will learn how to ride a bike annually*

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

Yes

If not requesting a standard fleet, please specify the number of 14 inch bikes you will be needing

14 inch bike quantities available: 1, 2, 3, or 4. The rest of your fleet will be made up of 20 inch bikes.

Where did you hear about All Kids Bike?*

Invoicing Information*

Do you need an invoice for payment processing?

Yes

Social Permission*

Do we have permission to share your school's fundraising page on our social media pages (i.e., Facebook, Instagram, etc.)?

Yes

Social Media Links (if applicable)

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?

Yes

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.

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

SELECT FILES

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.

Type Name of Applicant*

Signature*

Signature of Applicant

Date

Name

This field is for validation purposes and should be left unchanged.

INCLUSIVE LEARN-TO-RIDE PROGRAM APPLICATION

Organization Information*

Mailing Address*

Contact 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.

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

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

Date

INCLUSIVE LEARN-TO-RIDE
PROGRAM APPLICATION