Get ready to apply
Cody’s Wheels of Hope, Inc.
Bicycle and Wheeled Toy Program
What you get
A bicycle or wheeled toy chosen for your child. Open now.
- Who starts it
- You
- How it’s sent
- Email to info@cwoh.org, or by post
- Your time
- About 30 minutes
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Your child is 18 or under.
- Confirm the mailing ZIP code with the organization before sending anything.
- Address ZIP conflicts across official pages.
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What their form asksA preview, so you can gather things first. Fill it in on their site.
Open the application PDF ↗ Checked Aug 27, 2026Send it by email to info@cwoh.org.
What the form asks for
Child, guardian, and medical contactChild’s NameAgeBirth dateGenderParent/Guardian NameAddressTelephone number(s)Email addressDoes this child have a website open to the public? If so, please specifyHospital where child is treatedContact person at hospitalContact person’s telephone number and/or emailIf you don’t mind CWOH knowing your child’s illness you may write it hereRequested wheeled itemWhat are you requestingBicycle sizeTricycle typeOther wheeled toy — Please specifyHelmet sizeFavorite color2nd choiceCertification, publicity choice, release, and waiverI agree that the above information that I have given is true and currentSignedDateMy authorization is forChild’s Name (please print)Parent/Guardian Name (print)AddressPhone number(s)Signature of parent/guardianI, (please print name) accept this gift for (print child’s name)SignedDateHave ready
- Printed application, publicity choice, and waiver signed by the parent or guardian.
After you send
Wait for medical confirmation and delivery coordination. If you have not heard back in two weeks, write and ask whether it arrived.