JoyRiders Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form before attending a Joyriders led ride. Please note that Joyriders will only use this data for the purpose of organising the ride and running our cycle groups, we will not share it with other organisations or use it for marketing purposes. Please see our privacy notice for further details: https://docs.google.com/document/d/1vhwSSHLUSgvbj8VAaOVLLQUARSkspceBJ1uvOZewlGg

Email *

Mobile number *

Name *

Surname *

Please indicate your age group

Please indicate your gender *

Please indicate your ethnicity *

What is your postcode? *

What is your current cycling level *

Can cycle but do not have full control

Can control bike but do not ride on the road

Can ride on the road but do not feel fully confident

Confident rider on roads

Cannot cycle unaided

Required

How often do you currently cycle *

5 or more times a week

Once or twice a week

Once or twice a month

Less than once a month

Never

Do you own a bike *

Yes I own a bike which I can ride

Yes I own a bike but it’s not in working order

No I don’t own a bike

Have you used Waltham Forest Council's free Community Bike Hire scheme? *

Yes, I've hired a standard bike

Yes, I've hired a cargo bike

I didn't know about it

Are there any medical conditions or other relevant information that may affect your participation? (Please note that is important to keep us up to date with any changes to your health that may impact on your participation) *

How did you find out about JoyRiders? *

What would you like to get out of participating in led cycle rides? *

Do you agree to be contacted after 3-6 months to follow up on your cycling progress? The follow up data is really important in enabling us to demonstrate the impact we are having and secure the future funding and sustainability of JoyRiders and Cycle Sisters.

Yes

Clear selection

Name of emergency contact *

Contact number *

Relationship to yourself *

Do you agree to photos being taken that may be used for promotional and illustrative purposes for JoyRiders? This will include a post-ride update on the JoyRiders Facebook page. If you say no, please note that you are also responsible for informing the ride leader on the day of each ride. Please also note that if you take personal photographs on the day of a ride that these should not be shared on any other social media without the permission of individuals within the photos. I *

Yes

Other:

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms