PROGRAM REQUEST FORM

  • Organization Information*

  • Mailing Address*

  • Contact Information

  • ORGANIZATION INFORMATION

  • The Number of Individuals Served Annually Overall By This Organization.*

  • The Early Learning and Inclusive Learning bike fleets are customized to meet your program's needs. Please provide the information below in order for the All Kids Bike team to build a fleet custom for your organization.

  • Where did you hear about All Kids Bike?
  • Cover Letter *

  • SELECT FILES


    Let us know why you're interested in the All Kids Bike Learn-to-Ride Program and how you will use it.
  • 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.
  • By signing below, I certify that the information contained in this application is true and correct to the best of my knowledge.

  • Signature of Executive Director
  • Date