Youth Bike Donation Form

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Thank you for your interest in donating a used youth bicycle to Active SWV. We are seeking youth mountain bikes in good condition that need few to no repairs. The bikes will be used for free physical activity programs in the community such as summer camp, school bike clubs, free youth bike rodeos, and more. Please fill out the following form with information about yourself and the bike as promoted. Thank you!

Email *

Your Name *

Best contact phone number *

Best contact email *

What size is the bike you would like to donate? *

About how old is the bike you would like to donate? *

1-3 years

3-5 years

5-10 years

10 yrs or older

What condition is the bike in? *

New

Like new

Lightly used

Heavily used

Is there any other information you'd like to provide on the bike's condition?

Has the bike been stored indoors or outdoors? *

Is everything in working order on the bike? Please assess the following areas and note their condition: gear, chain, brakes, tires *

Please not any repairs that are needed on the bike. *

Address where bike is located *

Are you able to drop off the bike in Beckley at 116 N Heber Street? *

Yes

Other

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