Please enable JavaScript in your browser to complete this form.Duty StationNellis AFBCreech AFBRank *E1E2E3E4E5E6O1O2Enrollment is open to E1-E6 or O1-O2. If you are outside of these parameter, please contact Mrs. Collins at A&FR for a waiver.Name *FirstLastEmail *Home zip codeFor geographical statistics onlyPhone number *Current Military Branch *US NavyUS Marine CorpUS Air ForceUS ArmyNational GuardPlease select current branchMilitary Status *ReserveActivePlease select current statusUnit *What unit are you attached to Is this child enrolled in your DEERS *yesno Eligibility requires the child be your immediate dependant/household and enrolled in DEERSGender *BoyGirl Age *Age: NB-1Age 2-3Age 4-6Age 7-10Age 11-12What are you requesting? *ToysBike Please select only one option. If you are requesting a BIKE, we will need your child’s height for sizing. Otherwise we will automatically default to a toy selection.How tall is you child in inches?This is very important as it will dictate what size bike he/she needs. Please not the tallest bike is 20 inches.MessageSubmit
