Let's Ride Southall Bike Application Form

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Let's Ride Southall is part of the Let's Go Southall initiative, funded by Ealing Council and Sport England. We're proud to be the largest community cycling project in London.

We offer free bicycles, bike accessories, and cycle training to individuals committed to regular cycling and who meet our terms and conditions.

To learn more about our FREE cycle initiative and start your training programme, please fill in this enquiry form. It will take approximately 5 minutes to complete, and your answers will be kept confidential. Note that children over 5 can apply, but the form must be filled out by an adult (18+).

For more information about the Let's Ride Southall project, visit our website at https://letsgosouthall.org.uk/lets-ride-southall/ and feel free to email us at letsridesouthall@gmail.com with any questions.

Where did you hear of our Free Bike Programme? *

Family and Friends;

Southall School;

Website or Social Media;

Outreach Event;

Local Community Space or Community Services;

Local GP or NHS referral;

ACT (Active Communities Team);

Other:

Please let us know the name of the Southall School, Community Spaces or Community Services, the name of the Surgery, or the outreach event. *

Please, confirm if you are eligible for the LRS Free Bike Giveaway Programme. *

Please check our website for the LRS terms and conditions: https://letsgosouthall.org.uk/lets-ride-southall/lets-ride-southall-free-bike-giveaway/

a. Yes, I'm a Southall Resident or my children go to a Southall School or I have a full time job in Southall;

b. I don't live in Southall, or my children don't go to a Southall School, or I don't have a full time job in Southall.

c. I'm interested in alternative cycling activities for non Southall applicants.

If you selected option c. for the previous question, you are still invited to apply, as you may be eligible to access alternative cycling services and participate in ACT health & wellbeing activities.

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