Bicycle Safety Gear Request

Bicycle Safety Gear Request
Thank you for your interest in improving bicycle safety in your community. goHunterdon collaborates with local schools, police departments, and community organizations to facilitate the distribution of free bicycle helmets, bicycle lights, bicycle bells, and reflective tape to those who may benefit from bicycle safety gear and to raise awareness of bicycle safety laws. (N.J.S.A. 39:4-10.1 and 39:4-10)

NJ Bicycle Laws

Please make your request by completing the information below:
Requestor Information
Contact Name*

First NameLast Name
School/Municipal Affiliation
Contact Title
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Request Details
Number of Bicycle Light Sets*
Number of packs of Reflective Tape*
Number of Helmets requested*
Helmet Size

To measure your head for a bicycle helmet, use a flexible tape measure to measure the circumference of your head approximately 1 inch (2.5 cm) above your eyebrows and just above your ears
Medium (52-59 cm)Large (58-51 cm)
Medium (52-59 cm)Large (58-51 cm)
Please use the space below to provide a brief description of the need for this bicycle safety gear in your community*
Should be Empty:

Requestor Information