MTB & Adult Learn 2 Ride Lesson Request
This form is to help us understand your interests and experiences. Please fill it out accurately and completely.

--- PLEASE READ --
Once this form is submitted, You will also receive an automated email with the tentative details of the appointment and a link to our online waiver.

We will then contact you directly within 1 business day to finalize the details of this appointment.

Should any changes need to be made due to weather, location, availability, or other factors, we will contact you within 24 hours of the time/date of the appointment. We ask that you give us as much notice as possible if you need to reschedule or cancel.

Rider Name *
Your answer
Phone # *
Your answer
Email *
Your answer
What type of lesson are you booking? *
Which of the following best describes your cycling experience? *
Please select all that apply
Required
Please provide detail about your experience including abilities, fears and any positive or negative experiences on a bike? *
The more information we have, the better we can work with your rider!
Your answer
What are the primary goals for taking this lesson? *
Your answer
Please describe your bike including make, model, and condition (has it been recently serviced?). Also include any questions or concerns about your equipment. *
We ask that your bike has been recently serviced to prevent unwanted mechanical issues during the lesson. When sitting on a lowered seat, your feet should be able to touch the ground and your upper body should feel relaxed and not stretched to reach the handlebars.
Your answer
Are there any relevant health/medical, physical, or other concerns or conditions that we should be aware of? *
Including food/outdoor allergies, exposure concerns, or existing conditions or experiences that may influence the participation in this activity.
Your answer
Please list the name, relation, and contact information for another individual we may contact in the event of an emergency. *
Your answer
Is there anything else we should be aware of? Questions, concerns, ideas, additional details, etc.
Your answer
Where would you prefer to hold the lesson? *
** Lesson locations are subject to weather, permitting, other events, usable space, etc.**
Required
Generally speaking, which of the following days/times work well for scheduling a lesson? *
Required
Do you agree to adhere to our safety protocols, including wearing a helmet and using proper communication during the lesson? *
Submit
Never submit passwords through Google Forms.
This form was created inside of CycleAbility. Report Abuse - Terms of Service