Variety Bikes4Kids Community and Schools 2023 - 2024

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Bikes4Kids

* indicates a required field.

Organisation Details

Please note this form is to apply for regular two wheeled bikes. If your school requires adaptive bikes or trikes, please contact info@varietytas.org.au

This must be the name of your school or organisation
Is this organisation a: * Required
Response required.Response required.
Clear the selected value for Is this organisation a:
No more than 1 choice may be selected. 
Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required. Must be an Tasmanian Address
Must be an Australian Address
Must be an Australian phone number. Must be an Australian phone number
Must be an email address. 
Must be an Australian phone number. Must be a Tasmanian phone number
Must be an email address. 
Must be a number
Must be a number
Age range of children your organisation assists? * Required
Response required.Response required.
Clear the selected value for Age range of children your organisation assists?
At least 1 choice must be selected. 
Are any children of Aboriginal or Torres Strait Islander origin? * Required
Word count:
Must be between 20 and 200 words. Tell us about your school social and demographic settings and ICSEA score
Word count:
Must be between 10 and 200 words. This information could be helpful when selecting the bikes

Bikes for Kids Request

Please tells us how many bikes you are requesting for each size.

Sizes are by child height.

Where possible we aim to have bikes in neutral colours, subject to the stock availability at the time. However, we can't guarantee that any child will receive their preferred colour. 

Helmets Requested

Please write how many helmets are requested for each size.

Sizes are by head circumference.

Submission

Consent

Media Consent Form

If I am successful with this application, I acknowledge and grant “Variety –the Children’s Charity Tasmania” the permission – or have the permission of the parent or guardian of the child/ren that I have requested a bike for - to create and use:
• photographs, video and/or audio recordings of my child/ren, and
• in some instances, quotes and – if appropriate - my child’s/children’s first name/s as
well as to use the above mentioned for non-for-profit, non-commercial purposes
to be distributed in locations like:
• printed publications e.g. newsletters, annual reports, promotional material
• online publications e.g. on secure intranet websites and publicly accessible Variety
Tasmania’s and Variety Tasmania’s partner websites, Variety Tasmania’s social media
platforms e.g. Facebook, LinkedIn, Instagram, Twitter and • other forms of media e.g. podcasts.
I give or have been given this permission by the guardian/s of the child/ren without myself
or the guardian/s expectations of compensation.
The permission will continue until you revoke permission in writing to
ceo@varietytas.org.au. Where permission is revoked, every effort will be made to
remove relevant media from distribution, however this may not be possible or practical in
some situations.

 

Please note that your answer has no bearing on the outcome of your application
Clear the selected value for Please note that your answer has no bearing on the outcome of your application
How did you hear about Variety? * Required
Response required.Response required.
Clear the selected value for How did you hear about Variety?

Privacy Collection Statement

Your privacy is respected by Variety. The personal information you provide on this form
will be used to assess your eligibility. It may be provided to organisations who assist us, or
as required by authroised by law, but we will not use any of your sensitive information for
marketing purposes without your prior consent.
If you have any privacy concerns or would like to verify information held about you please
contact Variety Tasmania on 03 62484888.
By ticking below, you confirm that you have read and agreed to Variety's guidelines.
Submission of this application to Variety does not expressly mean or imply that Variety has
accepted your application, Variety is under no obligation, legal or otherwise, to process your
application to a successful conclusion. Each application will be determined on its merits, and
within Variety's funding guidelines. Variety is not liable for any loss or damage whatsoever
upon your application being declined.
By forwarding this application to Variety, you acknowledge that any and all implied terms
and conditions or warranties implied by law are excluded. You acknowledge on making
this application that Variety has not made any representation, or given any promise or
undertaking as to the fitness of any equipment or product(s) sought to be supplied to you
pursuant to this application. It is solely for you to determine whether the equipment or
product being sought is fit for its purposes. Variety may arrange for the supply and delivery
of equipment or a product, but it is neither the vendor nor the supplier of any equipment or
product. Accordingly, Variety will not be responsible for any direct or consequential loss or
damage arising or related in any way to this application or its subject matter.

I consent to Variety collecting the information provided in this application. I have read and agree to Variety's guidelines. I understand that if I do not provide the information requested, I may be ineligible to receie assistance from Variety