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Identification

E-mail

Confirmation email

Title

First name

Last name

Country

Province

Street no.

Street name

Street type

Apt. / office

No. apt.

I am unable to enter my address

City

Postal code

Phone

Add phone number

Family Name of Nominated Child

First Name of Nominated Child

What type of bicycle would the child like?

Age of Nominated Child

Height of Nominated Child

Why Do You Wish to Nominate the Child?

Tell Us Why This Child Deserves to Be Selected

Relationship with Nominated Child

I agree to create my account according to the terms of use.

Why create an account?

Please note that by creating an account, you accept the conditions of use and privacy policy.

Additional information

Photo release

If my child is selected for the bicycle distribution, I authorize Sun Youth and/or its agents to take photos and/or videos of my child, which will be used in whole or in part for advertising purposes, such as brochures, magazines, newspapers, television, social media, etc. All material will remain the property of Sun Youth.

I give my consent

Yes

Organization's registration number:

11920 6290 RR0001

Time remaining in your session: 20