Pedal Positive Individual Instruction Request for ADULT/TEEN LEARN TO RIDE and BASIC RIDING SKILLS
*NOTE: Individual Instruction will not available for the month of October 2024. Back in November!

Thank you for your interest in Pedal Positive individual instruction! This is a $150 value that we provide as a free service to help folks in the community. Free individual instruction is provided ON A CASE-BY-CASE BASIS for adults/teen 13 years of age and up (with some exceptions). Please complete this request form and we'll follow up with you as soon as possible.

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INDIVIDUAL AND PRIVATE GROUP INSTRUCTION OPTIONS
(*NOTE: Individual Instruction will not available for the month of October 2024. Back in November!)

Pedal Positive has two great options available! Both are free, and bikes and helmets are included:

(1) ADULT/TEEN LEARN TO RIDE - INDIVIDUAL INSTRUCTION:
This FREE 2-hour session is for adults and mature teens (13 and up) who want to learn how to ride a bicycle in a fun, supportive environment. Our friendly certified instructors use a safe, easy, and successful method to teach students how to balance, pedal, start, stop, and steer a bike. Some people learn to ride in one session. But, if not, you can come back for as many free sessions as you need or use the low-stress method you’ll learn to teach yourself!

(2) ADULT/TEEN BASIC RIDING SKILLS - INDIVIDUAL INSTRUCTION:
This FREE 2-hour session is for recent Learn to Ride graduates or others who know how to ride but need to work on their basic handling skills in a fun, supportive environment.  The basic format can be the same as our group classes or we can also customize it based on your particular learning goals. As always, a friendly certified instructor will provide expert guidance and answer questions. Use one of Pedal Positive’s bikes and helmets or bring your own in good working order.

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GENERAL INFO FOR BOTH OPTIONS:

CLASS DURATION:        2 hours
CLASS LOCATION:        Flexible
CLASS TIME:                  Flexible (typically 2-hour block on weekend between 9AM - 2PM)
AGE LIMIT:                      Students must be at least 13 years old (some exceptions on case-by-case basis).
EQUIPMENT:                  Bicycles and helmets are included with registration. May bring your own bike/helmet in good working order.
WHAT TO BRING:          Wear comfortable clothes and bring hydration and snacks to maintain your energy.
Which type of instruction are you requesting? (Select One) *
Student First Name *
Student Last Name *
Parent/Guardian First Name (If student is under age 18). "N/A" if student is over age 18. *
Parent/Guardian Last Name (If student is under age 18) . "N/A" if student is over age 18. *
Mobile Phone Number *
Preferred Contact Method *
City *
State *
Emergency Point of Contact Name *
Emergency Point of Contact Phone Number *
Student Height (e.g. 5'7")? For bike sizing *
Student Gender *
Student Age? *
Need a Bike? *
Need a Helmet? *
What is the student's riding experience? *
What are your riding goals for this session? *
Preferred DATE? NOTE: We'll finalize after receiving your request.
See calendar linked here for availability

(*NOTE: Individual Instruction will not available for the month of October 2024. Back in November!)


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Preferred TIME (2-Hour block)? NOTE: We'll finalize after receiving your request. *
The class will be conducted in Alexandria, VA (exact location finalized after receiving your request.). Please confirm that this is amenable. *
Are you okay with other students joining the session? (Max of 3 students, including yourself) *
How did you hear about Pedal Positive? *
Required
Who referred you? ("N/A" if not referred) *
I have read and agree to follow Pedal Positive's code of conduct at http://codeofconduct.pedalpositive.org. *
I am over 18 or the parent/guardian of the student and have read and agree to the Pedal Positive liability waiver at http://waiver.pedalpositive.org. *
Add me to the Pedal Positive news group for periodic news/events email updates. (no spam or personal info selling) *
A copy of your responses will be emailed to the address you provided.
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