Cycle Together Registration Form

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Please confirm that you are over 18. *

I confirm I am 18 years or over

Required

Please confirm that you can ride a bike *

I confirm I can ride a bike

Required

Do you use a bike frequently (at least once a week)? *

Yes

To help us plan the group rides, please tell us how you would describe your cycling confidence? *

Very confident

Quite confident

Neutral

Not very confident

Not at all confident

Please confirm that you are in good health and not suffering from any medical condition or disability which is likely to adversely affect normal control of a bike. *

I confirm that I am in good health and able to ride and control a bike safely

Required

If there is anything that you think the instructor should be aware of please add a comment below. For example, a medical condition or disability that doesn't stop you from riding a bike but that your instructor should know before your first session.

The height range for the ebikes is approximately 5’0” to 6’4”. The weight limit for the bike including rider and luggage is 21st or 135kg *

I confirm that I am within the height and weight range of the hire ebike

Required

Do you already use an ebike regularly? *

Yes

If you use an ebike regularly can you provide more information below, for example is it your own ebike or one you have access to?

Would you like to take part in the scheme with your own ebike? *

Yes

Where did you hear about this scheme?

I understand that if I borrow a bike I will be responsible for the bike at all times during the hire period and all damage must be paid for. Please see Terms & Conditions of hire for more information. *

I understand and agree to the terms and conditions of hire.

Required

Name *

Email *

Phone number *

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