WCC Giving Bikes Back Application For Free Bike

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Thank you for filling out this form. You'll receive call week of May 16, 2022 if you've been matched with a bike to let you know what time to pick up bike on Saturday, May 21st between the hours of 12-5 at WCC Spot (415 W. Washington Street, West Chester)

Full name of person desiring a bike *

Name of parent if a minor *

Address *

Phone *

Height *

Weight *

Gender: *

Female

Male

Organization applying on your behalf & contact information. *

What would having a bike mean to you? *

If we find the perfect match, would it ok to take a picture of you with your new bike for our website? *

Yes

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