Bikeability Course Registration* (Organised by your child's school)

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* 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 *

Child Surname *

Street Address *

Block Number, Street Number, Street, House Name etc

Town Area *

Eg. Worcester Park

Postcode *

(In capitals and with a space please)

Borough *

Work Telephone

Home Telephone

Mobile Telephone

Email *

This is required so we can acknowledge your registration and send you complementary information.

Pupil School Year *

Name of School Class *

A cycle helmet and roadworthy bike are required for this course *

I will provide an approved cycling helmet that is the correct size for my child

I will provide a roadworthy bike that is the correct size for my child

Required

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.

Terms and conditions & Privacy statement

Please read our terms and conditions:
https://www.sutton.gov.uk/info/200583/travel_and_transport/1832/terms_and_conditions_for_bikeability_sessions

Please read the Kingston Council privacy statement:
https://www.kingston.gov.uk/privacy

Disclaimer *

I am the parent or guardian of the child

I have read and fully understood the document entitled ‘School Cyclist Training – Bikeability Level 1 & 2, Information for Parents and Conditions’ and agree to the conditions stated in that document. I agree to my child taking part in the controlled cyclist training on public roads. My child can already cycle unaided and I will provide a fitting and roadworthy cycle. I accept full responsibility for the child and the bicycle getting to and from the school.

I agree for my personal information only to be used for the purpose of registration, feedback request and invitation to further Bikeability training. To find out more about "Data protection and your rights" please visit www.kingston.gov.uk or www.sutton.gov.uk

Required

Please sign your name *

Would you like to be contacted about our subsidised Adult Cycle Skills and Family Cycling?

For easy to follow tips to help you and your child cycling, we recommend the TfL's online Cycle Skills course. There are four short modules to try, including how to cycle as a family. https://cycle-skillsonline.tfl.gov.uk/

Yes

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EQUALITY MONITORING

About your child… It is important for us to ensure that we are reaching Kingston's diverse communities as part of any engagement and activities. We cannot do that without understanding a bit more about who is taking part.

We will treat the information you provide in a sensitive and confidential way as required by Data Protection Act. We won't share the information you give us with anyone else. We’ll use it only to help us make decisions and improve our services.

To which ethnic group do you feel they belong? *

DISABILITY AND HEALTH CONDITIONS

Does your child have special educational needs and/or disability that can affect their ability to learn? *

Yes

Prefer not to say

Required

Any health conditions affecting your child in the following areas

Vision

Hearing

Physical / Mobility

Learning Disability

Mental Health

Health Diagnosis

They have no health conditions

I prefer not say

Other:

SEX

Is your child? *

Male

Female

Prefer not to say

Required

CHILD AGE

How old is your child? *

If applicable, what religion applies to your child?

Christian

Buddhist

Hindu

Sikh

Jewish

Muslim

No religion

Prefer not to say

Other:

THANK YOU!

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