Brisbane West Bicycle User Group membership signup form
Family membership only - how many people in your family?
Number of people in your immediate family (if selected family membership type)
Can we contact you via text message for petitions, campaigns and events relating to your suburb?
Alternate phone number
This is optional. Input an alternative number such as home or work phone number.
Providing your street number is optional.
How would you describe your interest and level of confidence in cycling?
Pick the option most relvant to you.
Strong and fearless (will ride anywhere, regardless of roadway conditions)
Enthused and confident (comfortable riding on-road, but prefer separated bike infrastructure)
Interested but concerned (like to ride, but generally feel unsafe sharing roadways with cars. Would ride more often with separated bicycle infrastructure)
No way no how (do not ride a bicycle for reasons of topography, inability, or lack of interest)
Check all that apply. Reasons I ride a bike:
If you have selected a family membership, select reasons that apply for any family member.
Travel to work
Travel to school/University
To access/travel within the Brisbane CBD
Make utility trips (for shopping, to social events, to meet friends etc)
Social rides/for fun
As a sport (BMX, MTB, Racing, Cyclocross, Bike Polo)
What specific bike routes/issues in your local area do you want addressed by Brisbane West BUG? Which suburbs?
What other cycling-related issues do you want addressed by Brisbane West BUG?
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service