2026 Bikes for Kids Nomination Form
Your Name
*
First Name
Last Name
Nominated Child’s Name (First & Last)
*
Child’s Age
*
Your Address
*
City
*
State
*
Zip Code
*
Your relationship to the child
*
If you are a teacher, principal, or other school personnel, please include your personal contact number so we can reach you directly over the summer.
Personal Contact Number
Format: (000) 000-0000.
Child’s Parent’s Name(s)
*
Child’s Parent’s Email
*
Child’s Parent’s Phone Number
*
Tell us in 150 words or less what the child did to deserve a new bike
*
How did you hear about our giveaway?
Submit
Should be Empty: