🚲 March For Education Free Bike Giveaway Registration
Register your youth for the free bike giveaway—no cost, limited bikes available.
SECTION 3 — Bike Information
What type of bicycle would best meet the youth's needs?
*
Children's bicycle
Youth bicycle
Larger youth bicycle
I'm not sure
Does the youth have experience riding a bicycle?
*
Yes
Some experience
No
Is there anything we should know when matching a bicycle to this youth?
Child's Full Name
*
First Name
Last Name
Child's Age
*
Child's Height (in inches)
*
Preferred Bike Size (if known)
Please Select
12" (toddler)
16" (young child)
20" (older child)
24" (youth/teen)
Not sure
SECTION 2 — Youth Participant
Youth's Full Name
*
Youth's Age
*
Youth's Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
0
01
011
0111
01111
Year
Youth's Current Grade
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Other
Youth's Height
*
Please enter height in feet and inches (example: 4'8").
Does the youth currently have a bicycle?
*
No
Yes, but it needs repair
Yes, but it is too small
Yes, but it is too large
Yes, and it is usable
SECTION 1 — Parent/Guardian Information
Relationship to Youth
*
Please Select
Parent
Legal Guardian
Foster Parent
Other
Preferred Method of Contact
Phone
Text
Email
City/Town
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
SECTION 4 — September 6 Event
Will the youth be attending the March For Education Unity Parade & Festival on September 6?
*
Yes
No
Can the parent/guardian and youth be available to receive the bicycle if selected?
*
Yes
No
SECTION 5 — Parent/Guardian Acknowledgement
Parent/Guardian Consent
*
I am the parent or legal guardian of the youth identified on this form. I understand that bicycle availability is limited and that completing this registration does not guarantee that my child will receive a bicycle. I understand that bicycles will be matched based on available inventory and appropriate sizing.
Safety Acknowledgement
*
I understand that bicycle riding involves inherent risks and that appropriate safety equipment, including a properly fitted helmet, should be used whenever the bicycle is ridden.
SECTION 6 — Photography & MFETV
Photo/Video Permission
*
Yes, I give permission
No, I do not give permission
Parent/Guardian Electronic Signature
*
SECTION 7 — How Did You Hear About Us?
How did you hear about the Free Bike Giveaway?
March For Education
YMCA
Facebook
Instagram
School
Friend/Family
Community Organization
Church
Other
Register
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