Summer 2021: I Want to Learn to Ride a Bike

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

Summer is right around the corner, and the SAFE Ambassadors are looking forward to teaching you how to ride a bicycle for free! This complimentary service is provided by the Chicago Department of Transportation as part of the City of Chicago's Vision Zero initiative to eliminate traffic fatalities and save lives.

If you or someone in your network is interested in learning to ride a bike this summer, and would like for someone to reach out to you when the details have been finalized, please complete this Google form.

Thanks for your interest in learning and make it a SAFE day!

Email *

What is the participant's first and last name? *

What is the participant's ZIP code? *

How old is the participant? *

What is the participant's experience level riding a bicycle? *

Never ridden a bike before

Attempted but was unsuccessful

It's been a while and need a refresher

Rides often

How tall is the participant? *

What is the best email address to contact the participant? *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Chicago Department of Transportation Education Consultant Team. Report Abuse

Forms