PB for CFC
Cyclists Fighting Cancer - Helping Kids With Cancer
Cyclists Fighting Cancer - Helping Kids With Cancer
Cyclists Fighting Cancer - Helping Kids With Cancer

0300 500 4040

#Rideforus

Apply for a Bike or Trike

Apply for a Bike or Trike

 

*Specially adapted trikes are available for all ages up to and including eighteen years old.  If you think you might need an assessment please email the awards team.  PLEASE NOTE: Due to continuing worldwide shortages it is currently taking up to 4 months to complete trike orders.

Applications for CFC bikes or trikes for children and teenagers up to the age of and including eighteen can be made by any British citizen resident in the UK (applications from non British citizens will be considered where UK residency can be established).  If you have any difficulties viewing the links or filling in the on line form please email awards@cyclistsfc.org.uk or call us free on 0300 500 4040. Office hours are 9.30am to 4.30pm Monday to Friday. The young person benefiting from the grant must be aged 18 or under at the time of application.

Before you fill in the form, please make sure you have read our FAQ’s page which gives lots of useful information on things like the type of bike you may apply for and other matters regarding application and delivery.  To view the range of standard bikes we offer please visit Trek and Tandem Group Cycles; trikes are supplied by a range of specialist mobility companies, depending on specific requirements.  Other kinds of specialist bikes with adaptations, tandems and static bikes can also be provided, whatever your cycling needs, we can find a solution.

If you still have any questions, please feel free to contact us and we’ll answer your enquiry as soon as we can.

You may also apply for an award through your consultant, physiotherapist, specialist nurses, doctors, other health professionals and Teenage Cancer Trust, Young Lives Vs Cancer, Latch etc. social/support workers.

Please note, if you need a specially adapted bike or have a non-standard request, the best thing is to contact us directly before making an application on 0300 500 4040.

We prefer electronic applications, but if you need a paper version of this form you can request one by emailing awards@cyclistsfc.org.uk.

Before you start the application form please make yourself aware of how we will handle your personal information by reading our privacy statement

form

Child's Details

Date of Birth*

Case History

Please provide some details about the child's diagnosis, treatment and any ongoing side effects.



Further Details

Please only complete this section if you are a healthcare or support worker making an application on behalf of a family in your care

  I confirm I have read your Privacy Statement