Application for an Adaptive Bike
The Two Angels Foundation focuses on helping children (18 years old and younger) living in Colorado with physical disabilities live the most active and normal lives possible by providing them with adaptive bikes.
This form is intended to let the Two Angels Foundation learn more about the potential recipient of the adaptive equipment requested. Please answer all of the questions thoroughly to provide us with the most information possible. Applicants must live in Colorado and be 18 years old or younger. Please complete this application in its entirety. In addition to this form, all applications need to include the following:
- A letter of justification from a physical therapist or occupational therapist stating the need and intended use for the requested adaptive bike.
For assistance completing this application, please contact Dawn Mohatt at firstname.lastname@example.org or 720-940-6078.
Priority is given to applicants who have never before received a gift from Two Angels Foundation.
Applications are accepted at any time throughout the year, however, decisions are made in the months of February, May, August and December. Two Angels Foundation will acknowledge receipt of all applications, typically within ten days. Please note that each year we receive many more applications than we are able fund.
**Please note that Numotion is our preferred vendor and all approved applicants will need to order any approved bikes through them. Grants for bikes are usually between $1,000 -$1,500.