Bikeability Course Registration* (Organised by your child's school)
* This is for registration purposes only and does not guarantee a booking. Your school will get back to you to confirm your space and course date.

* Your personal details will not be shared with third parties and will be used solely for the purpose of registration, feedback request and invitation to further Bikeability training.
Before completing this form, please make sure you have read the ‘School Cyclist Training – Bikeability Level 1 & 2, Information for Parents and Conditions’ that was forwarded to you. This document is also available on: https://www.sutton.gov.uk/info/200583/travel_and_transport/1832/terms_and_conditions_for_bikeability_sessions
Your School *
Child First Name *
Your answer
Child Surname *
Your answer
Street Address *
Block Number, Street Number, Street, House Name etc
Your answer
Town Area *
Eg. Worcester Park
Your answer
Postcode *
(In capitals and with a space please)
Your answer
Borough *
Work Telephone
Your answer
Home Telephone
Your answer
Mobile Telephone
Your answer
Email *
This is required so we can acknowledge your registration and send you complementary information.
Your answer
Pupil School Year *
Name of School Class *
Your answer
A cycle helmet is required for this course *
Important Notes about your child *
Please share with us any information regarding your child's ability to participate. This includes medical conditions, special educational needs, disability and medications. Write N/A if not applicable.
Your answer
Terms and conditions & Privacy statement
Disclaimer *
Required
Please sign your name *
Your answer
Would you like to be contacted about our subsidised Adult Cycle Skills and Bike Maintenance training?
EQUALITY MONITORING
What best describe your child ethnic group or background? You can choose not to say further down.

Data will be separated from the registration form so it is anonymous.

White
Mixed / Multiple ethnic groups
Asian / Asian British
Black / African / Caribbean / Black British
Other ethnic group
I PREFER NOT TO SAY
DISABILITY AND HEALTH CONDITIONS
Does your child have a long-term physical or mental health condition or disability? *
Required
Any health conditions or illnesses affecting your child?
GENDER
Is your child? *
Required
CHILD AGE
How old is your child? *
If applicable, what religion applies to your child?
THANK YOU!
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