Do you have more than one child interested in participating in the program? *
If yes, how many total children do you have who would like to register for the program?
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Does your child (children) own a well-functioning bike appropriate for their age and size? *
If you have multiple children who would like to register for this program and are in need of a bike, please select how many children would need a bike.
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Does your child (children) own a bike helmet? *
If you have multiple children who would like to register for this program and are in need of a helmet, please select how many children would need a helmet.
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If accepted for grant funding, verification of need is required. Do you have proof of the need for financial assistance? (proof of income, free and reduced lunch, etc.) *
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