Adaptive Strider Program

Please complete the form below to begin your child’s Adaptive Strider Bike build. Kindly wait to purchase a Strider Bike until our fabrication team has reviewed your submission.

Once your submission has been reviewed, we will contact you within approximately 4 business days for any further information needed and to complete the purchase of your Strider Bike. Your bike will ship with all modifications included. (Approximately 2-3 weeks after purchase.) At this time, we are only able to ship to addresses within the continental United States. For more information on shipping to Alaska, Hawaii, and/or expedited shipping options, please call 605-342-0266.

"*" indicates required fields

Parent/Guardian Contact Information

Name*

City, State*

Email*

Phone*

Media and Testimonial Consent

We want to help as many children as possible learn to ride a bike and would appreciate your help spreading the word. Do you give permission for Strider and Ram Mounts to share your child's story using photos and testimonials you provide? This would include usage in our own print, web, and social materials as well distribution to media outlets in conjunction with third-party coverage of the Adaptive Strider Program.

Here are examples of other children's stories.

YES! I would love to share my child's biking journey.

NO, I do not allow use of any photos or written testimonial for my child's Adaptive Strider Bike.

Tell Us About Your Child

Child's Name*

Child's Age*

Color of Bike*

Modification Needed*

Height Differences

Limb Differences

Measurements

These measurements will help our fabrication team determine what parts and modifications are needed to adapt a bike to your child's needs.

Inseam (in inches)*

Have your child stand up as straight as they're comfortably able to with their shoes on. Place a book between their legs and slide it up to meet the crotch seam of their pants. Measure the distance from the top of the book to the floor

Shoulder Width (in inches)*

Measure the widest point of your child's shoulders. (Measuring across their back from one shoulder seam to the other is easiest if their shirt fits snugly.)

Shoulder to Elbow (in inches)*

(1) Measure from the ball of the shoulder joint down the outside of the arm to the elbow.

Elbow to Wrist (in inches)*

(2) Measure along the outside of the arm from the elbow to the wrist bone.

Right Shoulder to Elbow (in inches)*

Left Shoulder to Elbow (in inches)*

Right Elbow to Wrist or Terminus (in inches)*

Left Elbow to Wrist or Terminus (in inches)*

Right Circumference at End of Residual Limb, if applicable (in inches)

Leave blank if no modification is required for this limb.

Left Circumference at End of Residual Limb, if applicable (in inches)

Leave blank if no modification is required for this limb.

Is the end of the child's limb is tender or sensitive?*

Yes

Seated Photo(s)*

Please provide us with a photograph or two of your child seated with their arms at rest on a table or highchair. This will help our fabrication team determine parts and modifications needed for the bike.

Drop files here or

Accepted file types: jpg, jpeg, png, gif, heic, webp, Max. file size: 8 MB.

Grip Photo(s)

If your child is able to grip a household object (such as a marker or wooden spoon), please provide a photo or two. This will help our fabrication team determine the size and shape of any attachments needed for the handlebar.

Drop files here or

Accepted file types: jpg, jpeg, png, gif, heic, webp, Max. file size: 8 MB.

Additional Information

Please provide us with any additional information about your child that you think would be helpful in modifying their Strider Bike.

Consent*

At Strider, we love riding bikes, and we love inspiring kids to ride. We do not want physical limitations to prevent a child from experiencing this healthy and fun activity.

We are pleased to provide parents and legal guardians with adaptive modifications to their children's newly purchased Strider Bike at no additional charge to accommodate the physical needs of their children.

While Strider Sports Int’l Inc. (SSI) fully tests and certifies its children's bicycles for compliance with all applicable safety regulations, these adaptive modifications are one-of-a-kind and the result of individualized research, development, design, and manufacturing activities that are particular to each specific child and based on the parent or legal guardian’s input.

If you, as parent or legal guardian, would like to receive an adaptive modification to your Strider Bike for your child, you must submit full and complete information about your child in the form below. You must also confirm your understanding that this adaptive modification to your child’s Strider Bike is based on your input and developed specifically for only this child. You further acknowledge that the adaptive modification has not been separately tested and certified for compliance with consumer product safety regulations, and that there may be certain inherent risks and dangers, including injury or death, associated with the unique and bespoke adaptive modification made to the Strider Bike. It is your sole responsibility to determine whether to have your child use the adaptive modification with the Strider Bike. You agree to constantly supervise your child when using the bike, and you agree to not let other children use the bike with the adaptive modification.

By submitting this form and in accordance with these acknowledgements, you knowingly and voluntarily accept and assume full responsibility for any and all risks and dangers, including injury or death, that could arise out of, or occur during, your child’s use of the bike.

I agree to this policy.

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Phone

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