Bike Library Sign-Up Form
Please complete the form below to apply to participate in your school's Bike Library. If your school is not listed in the form below, the Bike Library is not available there yet. Once you have submitted the form you will be contacted by a member of staff from Bleeper, which manages and maintains the Bike Library.
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Please select your school *
2. What is your name?
3. Please enter your email address:
4. Please enter a contact phone number:
5. How many children do you intend to transport with the ebike or cargo bike that you will borrow?
Clear selection
6. What age is your child?
Under 2
2-5
5+
Child 1
Child 2
Child 3
Child 4
Clear selection
7. What type of bicycle storage space do you have in your home? (Tick all that apply)
8. What type of bicycle storage space do you have in your workplace? (If applicable)
9. Do you, or does a member of your household, currently own a bicycle?
10. Have you cycled an ebike previously?
Clear selection
11. Have you cycled a cargo bike previously?
Clear selection
12. How far from your child's school do you live?
Clear selection
13. Do you have any additional needs, physical or otherwise, which you would like to be considered when assigning you with a borrowed bike?
14. Please rank, in order of preference, the type of bike you would like to try. (We cannot guarantee that you will receive your preferred bike type, and the exact model may not match the ones shown below.) *
Captionless Image
E-Bike
Folding E-Bike
Longtail Cargo Bike
Box Cargo Bike
1st Preference
2nd Preference
3rd Preference
4th Preference
15. Do you accept the Terms & Conditions for participating in the Bike Library?   *
16. Do you require a child seat for your bike? (This option is not available on the Folding E-Bike.)   *
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