SCHOOL APPLICATION

School Information

School Name*

EIN*

Is your school Title 1 status?*

District Name*

School Main Phone Number*

School/District Website*

School Mailing Address

Address Line 1*

Address Line 2

City*

State*

Zip Code*

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City + State

Contact Information

Primary Point of Contact

School Contact First Name*

Contact Last Name*

Contact Title*

Contact Phone Number **

Email*

Please check spam inbox if you do not hear back from us within 1 business day

PE Teacher Contact Information

Same as Above

Same As Above

PE Teacher First Name

PE Teacher Last Name

Email*

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PE Teacher Email

Would you like to receive our newsletters?*

Yes

Organization Information

Please include a brief description of how the request will impact your organization in 5-6 sentences.*

Total number of students in your school*

Number of kindergarten students in your school*

Quantity of Student Bikes Requested*

The base fleet of the Kindergarten PE Program includes 24 Strider balance bikes with integrated kickstand, 24 pedal conversion kits, and 24 helmets. The fleet also includes one Strider 20x bike for teacher instruction along with 2 metal rolling storage racks. The curriculum is taught so every student is on a bike at the same time, therefore the number of bikes requested should be equal to the number of students in your largest kindergarten PE class.

Where did you hear about All Kids Bike?*

Who referred you to All Kids Bike (if applicable)

Organization Information

Fundraising Page Permission*

By completing this Program Request Form, your school will be put in our funding queue. Schools are moved out of the funding queue through fundraising efforts. In an effort to expedite the process, we have a crowdfunding platform where we create individual fundraising pages for each school application. Would you like us to create a fundraising page for your school? *You will receive the direct link when your school's page is published for review*

Yes

Purchasing Information*

Has your school secured the funding for the program or directly purchasing the program?

Yes

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)

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

As a 501(c)(3) nonprofit, Strider Education Foundation can only fulfill programs with other nonprofit organizations, such as not-for-profit schools and public school systems. A W-9 is required to apply for the program and can often be found with school/district business office. If you have any questions about eligibility, please email info@allkidsbike.org or call (605) 956-3877.

Here is an example of proof of nonprofit/government entity status.

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 5 MB.

Signature Method*

Draw Signature

Type Signature

By signing below, I certify that the information contained in this application is true and correct to the best of my knowledge, and that I have the permission of the school and its administration to request this program.

Signature*

Signature of Principal, Executive Director, or Applicant

Typed Signature*

Type the name of Principal, Executive Director, or Applicant

Name

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

REQUEST BIKES FOR YOUR SCHOOL OR ORGANIZATION

We’re on a mission to teach every child in America how to ride a bike in kindergarten PE class.

Learning to ride a bike builds the confidence that changes everything! Apply today for a complete Learn-To-Ride Kindergarten PE Program for your school! Public or nonprofit private schools are eligible for the Learn-to-Ride Kindergarten PE Program.

If you have questions about the program or school application, please reach us at info@allkidsbike.org or 605-956-3877

* Required Field

School Information

School Mailing Address

Contact Information

Organization Information

Organization Information