Pedal Power Bike Donation Event

Date/Fecha: Saturday, April 5th, 2025/Sábado, 5 De Abril De 2025

Time/Hora: 10:00 AM - 2:00 PM

Location/Ubicación: Community Health & Wellness Center - 1636 E. Mission Rd, Fallbrook, CA 92028

Here's what you need to know/Esto es lo que necesitas saber: 

• Registration is required - Bikes are First Come, First Served!/Se requiere registro - ¡Las bicicletas se asignarán por orden de llegada!
• Age & Location Requirements: Must be ages 4-18 years old and reside in Fallbrook, Bonsall, Rainbow, or De Luz./Requisitos de Edad y Ubicación: Edades de 4 a 18 años, residentes de Fallbrook, Bonsall, Rainbow o De Luz.
• Bike Matching: We’ll do our best to match each child with the right bike size (no e-bikes, just manual bikes)./Asignación de Bicicleta: Haremos nuestro mejor esfuerzo para asignar a cada niño la bicicleta adecuada (sin bicicletas eléctricas, solo bicicletas manuales).
• In-Person Pickup Required! (No Bike Deliveries)/¡Se requiere recoger en persona! (No se realizarán entregas de bicicletas)

Application Deadline: 4:00 PM on March 17th, 2025!/Fecha límite de solicitud: ¡Se requiere recoger en persona!

Submit your Application Today!

Complete a paper copy of the application (download file here)  or complete the electronic version below. 

Paper applications can be faxed to (760)-731-9131, emailed to rwilliams@fallbrookhealth.org, or dropped off/mailed to 138 S. Brandon Road, Fallbrook, CA 92028.

Click this link to find out the youth’s helmet size!/Haz clic en este enlace para descubrir el tamaño del casco del joven.

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Youth's Information/Información del joven

First Name/Nombre (required)

Last Name/Apellido (required)

Age/Edad (required)

School's Name/Nombre de la escuela (required)

Grade/Grado (required)

Referring Agency/Agencia de referencia (required)

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Youth's Measurements/Medidas del Joven

Height/Estatura (required)

Weight/Peso (required)

Helmet Size/Talla de casco (required)

Small/C

Medium/M

Large/G

X-Large/XG

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Parent/Guardian Information/Información del padre/tutor

First Name/Nombre (required)

Last Name/Apellido (required)

Home Address/Domicilio (required)

City & State/Ciudad y Estado (required)

Zip Code/Código postal (required)

Cell Phone/Numero de telefono (required)

Email/Correo electrónico (required)

Primary Language/Idiomo (required)

English/Inglés

Spanish/Español

How did you hear about us?/¿Cómo se enteró de nosotros? (required)

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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If you have any questions, feel free to contact us. We're happy to help! Call us at (760) 731-9187./Si tiene alguna pregunta, no dude en ponerse en contacto con nosotros. ¡Estamos aquí para ayudar! Llámenos al (760) 731-9187.