Need A Bike

Please note that we do not donate bikes to individuals directly.

We provide bikes to individuals through our partner charitable organizations.

Who Are You?*
Please select one of the three options below to indicate who you are:
> An individual contacting us for yourself
> A current partner organization that works with Bikes4Kids
> An organization wishing to work with Bikes4Kids as a partner
- An individual person
- A current partner of Bikes4Kids
- A prospective partner
Thanks for your interest in Bikes4Kids. As our website states, it is not our policy to give away bikes directly to individuals. We work with social services organizations throughout the Metropolitan area, giving priority to Anoka County.

If you have a relationship with a social services organization that can request a bike for you, such as county and state social services, counselors or mental health providers, handicapped and senior assistance providers, participating school services, churches, homeless shelters, etc. I would suggest you contact them to request a bike for you through the website. However, if you do not, you can contact one of our food shelf partners (listed below). They will determine your need and, if you qualify, can request a bike for you.

Way of the Lord Food Shelf
804 131st Ave NE
Blaine 55434
Cindy Stokes 763 755 4800 or 612 280 6210
jcstks@hotmail.com

Manna Market Food Shelf
Judy Steven 651 238 7677
jamesjudysteven@aol.com
Your Name*
Name of the person filling out this form.
First Last
Email*
Your email contact
Phone*
Your primary phone number.
Organization*
Name of the organization that you represent.
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Website
Website of the organization that you represent.
Your Mission*
Please describe the mission of your organization.
Who do you serve?*
Who does your organization serve?
Type and size of bikes*
Do you have a request for specific individual or do you have a generic request for a group of bikes?
- I have a Specific Request List
- I have a Generic List of Bikes
Specific Request List*
Please fill the list for each individual person as needed based on the following OPTIONS:
Gender Options: Enter "B" for Boy and "G" for Girl
First Name: First name only
Age: Age of the person in years
Height: Height of the person in feet' AND inches"
Special Notes: If you have a special request for bike type (i.e. BMX, Mtn. Bike, Tagalong, Trike, 3-wheeler, training wheels, color preference or weight considerations) enter them here. We will do our best to honor special requests but there are no guarantees.
NOTE - To add a new row to the list click on the symbol next to the "Qty Needed" on the last row. The form is limited to 20 entries max.
Gender First Name Age Feet Inches Notes
Generic Group Request List*
Please fill the list based on type, size and qty of for each type of bike as needed based on the following OPTIONS:
Gender Options: Enter "B" for Boy and "G" for Girl
Bike Size Options: Trike, 12, 16, 20, 24, 26
NOTE - To add a new row to the list click on the symbol next to the "Qty Needed" on the last row. The list is limited to 12 entries max.
Gender Bike Size Quantity Needed
Date Needed By*
Other Question(s)
If you have another question please use this text entry for your question and you will hear from one of our coordinators.

Gender	First Name	Age	Feet	Inches	Notes

Gender	Bike Size	Quantity Needed

Please note that we do not donate bikes to individuals directly.

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