Bikes for Kids Application - Variety St. Louis

Standard Bike Application

Variety considers “standard bikes” to be two-wheeled bicycles that may be purchased at major retail stores. Each year, we give away these standard bikes in multiple sizes, with training wheels available on only 12” & 16″ bikes.

(Those needing specialty adaptive/therapeutic bikes can learn more here.)

To receive a bike, the following requirements must be met

The bike recipient must be under the age of 21.
The bike recipient must live within Variety’s 30 county service area.
The bike recipient must have a physical or developmental disability.
A parent, guardian, or caregiver must be present pick up the child’s bike on Saturday, November 21, 2026 at
St. Louis Priory High School, 500 S Mason Rd, St. Louis, MO 63141

Child's Name(Required)

First Last

Child's Disability/Primary Diagnosis(Required)

Child's Date of Birth(Required)

How did you hear about Variety?(Required)

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If you are part of an agency, please select one.(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Gender(Required)

Child's Height: Feet(Required)

Please enter a number from 2 to 7.

Inches(Required)

Please enter a number from 0 to 11.5.

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Calculated height in inches

Based on the information you provided above, we recommend a Boy’s 12-inch bike. However, you may choose to select a different bike type based on your child’s inseam, build, or other considerations.

Based on the information you provided above, we recommend a Girl’s 12-inch bike. However, you may choose to select a different bike type based on your child’s inseam, build, or other considerations.

Based on the information you provided above, we recommend a Boy’s 16-inch bike. However, you may choose to select a different bike type based on your child’s inseam, build, or other considerations.

Based on the information you provided above, we recommend a Girl’s 16-inch bike. However, you may choose to select a different bike type based on your child’s inseam, build, or other considerations.

Based on the information you provided above, we recommend a Boy’s 20-inch bike. However, you may choose to select a different bike type based on your child’s inseam, build, or other considerations.

Based on the information you provided above, we recommend a Girl’s 20-inch bike. However, you may choose to select a different bike type based on your child’s inseam, build, or other considerations.

Based on the information you provided above, we recommend a Boy’s 24-inch bike. However, you may choose to select a different bike type based on your child’s inseam, build, or other considerations.

Based on the information you provided above, we recommend a Girl’s 24-inch bike. However, you may choose to select a different bike type based on your child’s inseam, build, or other considerations.

Based on the information you provided above, we recommend a Boy’s 26-inch bike. However, you may choose to select a different bike type based on your child’s inseam, build, or other considerations.

Based on the information you provided above, we recommend a Girl’s 26-inch bike. However, you may choose to select a different bike type based on your child’s inseam, build, or other considerations.

Select a Bike Size for Your Child(Required)

Select a Helmet Size(Required)

T-Shirt Size(Required)

Does your bike need training wheels?(Required)

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Parent/Guardian 1(Required)

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Parent/Guardian 2

The parties agree that this waiver may be electronically signed. The parties agree that electronic signatures appearing on this waiver are the same as handwritten signatures for the purposes of validity, enforcement and admissibility.

RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT

Either the child by him or herself, I by myself, or the child and I together wish to participate in the event. There is no charge to us for our participation.

The event will include transportation to and from the site by private car and/or other transportation means, entry into the site, and activities at the site.

I acknowledge that participation in the various phases of the free event will involve the risk of injuries and damages including but not limited to injuries or damages resulting from car accidents and/or falls and/or other mishaps. Injuries and/or damages could include death, personal injury, property damages, loss of services and other injuries or damages.

I understand that unless I sign this release, including all its terms, on behalf of the child and me, the Variety the Children’s Charity of St. Louis will not allow the child or me to participate in the event.

In order to participate in the event, on behalf of the child and myself, I therefore release the officers, directors, agents, affiliates, sponsors, volunteers, successors, assigns and employees of both the Variety the Children’s Charity of St. Louis and the site, and I release all drivers and owners of all vehicles involved in the transportation of the participants, (collectively “the released parties”), from all liability for injuries or damages resulting from activities connected with the event, to the extent those injuries or damages are result of negligent acts.

I further agree to hold the released parties harmless and to indemnify them against any claims brought against them by third parties due to my actions and/or the child’s actions.

On behalf of the child and myself, I thus hereby release the released parties from all claims for damages or injuries for negligent acts connected with the event. I exclude from the release grossly negligent acts, intentional acts, and acts done with malfeasance. I understand this release is quite broad, but I nevertheless accept its terms.

Should the need arise in the course of the event I also hereby give authority to all representatives of the Variety the Children’s Charity of St. Louis and the site to provide reasonable emergency medical care to the child and/or to me. I release all claims for injuries or damages incurred by me or the child in connection with the delivery of such care in good faith. This release is also a condition of participation in the event.

Either the child by him or herself, I by myself, or the child and I together wish to participate in the event. There is no charge to us for our participation.

The event will include transportation to and from the site by private car and/or other transportation means, entry into the site, and activities at the site.

I further agree to hold the released parties harmless and to indemnify them against any claims brought against them by third parties due to my actions and/or the child’s actions.

Parent/Guardian 1(Required)

Parent/Guardian 2

Media Release

I also hereby authorize the media and/or representatives of the Variety the Children’s Charity of St. Louis to take photographs and/or videos of the child and me, and to publish and/or air those photographs and/or videos for the purposes of publicity and/or other reasonable purposes.

Photo/Video opt In/Out

I agree with the statment above. My child and I can be videoed and/or photographed.

I do not want my child or me photographed or videoed. This will NOT affect your child’s ability to participate.

Standard Bike Application

To receive a bike, the following requirements must be met

RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT

Media Release

The life of a parent of a special needs child is always changing and Variety has really shown us that you all are in this with us

HOW WE HELP

GIVE HELP

GET HELP

CONNECT WITH US

Standard Bike Application

***To receive a bike, the following requirements must be met***

RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT

Media Release

The life of a parent of a special needs child is always changing and Variety has really shown us that you all are in this with us

To receive a bike, the following requirements must be met