WHEELS 4 THE KIDS REQUEST FORM

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Sports 4 the Kids collects bikes, scooters, roller-skates, rollerblades, skateboards, etc... to donate to the Sports 4 the Kids inventory that is distributed to local underserved children. The form below is provided to place your name on a waiting list for your wish list of "wheels".

WISH LIST

PARENT FIRST NAME *

PARENT LAST NAME *

CHILD FIRST NAME *

CHILD LAST NAME *

AGE OF CHILD *

M or F *

HEIGHT of child

SHOE SIZE of child (if requesting roller skates or blades)

PHONE NUMBER *

EMAIL *

CITY *

WISH LIST ITEM #1 *

WISH LIST ITEM #2

WISH LIST ITEM #3

COMMENTS or SPECIAL REQUESTS

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