Bridgeport Kidical Mass Learn to Bike Survey

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Does your child want to learn to bike or improve their bike skills? Join us on September 21, 2024 as the Chicago SAFE Ambassadors accompany us on our monthly bike ride, ending with a learn to ride and skill building course. Please fill out this information if you are interested in having your child participate in the course. All are welcome to join the ride whether or not your child will participate in the class. This class is for children ages 6-12 years old. You can learn more about the SAFE Ambassador program at chicago.gov/safeambassadors

Email *

Name (First and Last *

Relationship to the child *

Child's Name (First and Last) *

Child's age (ages 6-12 only are eligible)

Has this student taken a class with Chicago's SAFE Ambassadors before? *

Yes

What is the child's experience level riding a bicycle? *

Never ridden a bike before

Attempted but was unsuccessful

Can ride but would benefit from a skills course

Describe the child's history of learning to ride

Do you have a bike for the student? *

Yes

Do you have a helmet for the student? *

Yes

Please share any accommodations the child needs to make this a fun, safe, and rewarding experience, including any medical conditions/disabilities/restrictions. *

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