Application

Adaptive Bicycle Application

The Two Angels Foundation focuses on helping children (under 21 years old) living in Colorado with physical disabilities live the most active and normal lives possible by providing them with adaptive bikes.

Application Instructions

The form below is intended to let us learn more about the potential recipient of the adaptive equipment. Please answer all of the questions thoroughly to provide us with the best information possible. Applicants must live in Colorado and be under 21 years old. 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.

Priority is given to applicants who have never before received a gift from Two Angels Foundation.

Applications are accepted at any time of the year, however, applications are only reviewed 3 times annually. Two Angels Foundation will acknowledge receipt of all applications, typically within 10 days. Please note that each year we receive many more applications than we are able fund.

Grants for bikes are usually between $2,000 -$2,500 and Numotion is our preferred vendor.

For assistance completing this application, please email Dawn Mohatt or call 720-940-6078.

Prefer to Print the From?

Download the PDF version of the Adaptive Bicycle Application. After completing the application, mail it to the address in the file.

Two Angels Foundation Adaptive Bike Application