Kids Building Bikes Open Enrollment Registration

"*" indicates required fields

Step 1 of 4

Student Info

Student's Name*
Student's Address*
MM slash DD slash YYYY
Does your child own a bicycle?*
What is your child's riding ability?*

Discount Eligbility Information

This section will be used to provide data to support our grant supporters and provide scholarships to our students.
Please enter a number greater than or equal to 0.
Does your child benefit from the Free and Reduced Lunch program?
Is your family enrolled in the SNAP program?