Bikes Without Barriers Application
Please complete the following application as accurately as possible to ensure the fastest response. Please ensure that a current phone and email address are included, so we can contact you to discuss the next step toward getting your adaptive bike.
Please be advised that our Bikes Without Barriers Program is based in Huntington, WV. We serve children and adults with disabilities in the tri-state area, so applicants must be within a reasonable distance to either pickup or deliver their final bike.