Meadow High Bikeability Invitation Form

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If you would like to give your child the opportunity to attend this bikeability course please complete the form below. All information is confidential and secure.
Applicants will be registered on a first come first serve basis. Should your child not get the chance to attend this course you will have the opportunity to select whether you would like to be added to our generic waiting list for future courses around the borough.

Child's First Name *

First name only

Child's Surname *

Surname only

Gender *

Female

Male

Health or behavioural issues, learning or physical disabilities

Please ensure you enter any information you think our instructors may need to know, remember Level 2 will be out of the school grounds so we need to know as much as possible.

Parent/Carer Contact Name *

Helmet Consent *

All trainees are required to wear their own helmet throughout the course. Failure to provide and wear one will result in the child being unable to continue. If your child cannot physically wear a helmet due to religious reasons (example, turban) please select the relevant box.

My child cannot physically wear a helmet due to religious reasons

My child will provide and wear a helmet throughout the duration of the course.

Should your child not get a place on this course, would you like them to be added to our waiting list for future courses in the borough? *

Yes

Please tick the below box to confirm you are happy for your details to be shared with the school and Cycle Instructor Team in order for registers to be made. Please note by not ticking this box we will be unable to process your form *

I agree to my details being shared with my childs school

Required

Submit

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