Bikeability Level 3 booking form

Complete the online form to book Bikeability Level 3 cycle training for school-aged children.

  • This form will take approximately 5 minutes to complete.
  • Please ensure you have enough time to complete the whole form in one session so that your data is not lost.
  • The questions marked with an asterisk (*) are mandatory and require an answer.
  • To safeguard clients and instructors, trainees under 16 years of age and vulnerable adults will need to attend with a parent or other suitable adult, unless otherwise indicated on the appropriate consent form.
  • We want to make sure you have an enjoyable experience, so we will contact you for your feedback after the training has taken place.
  • If you need any help with the form, please phone 033 022 26709.

Trainee details

Enter trainee's first name.
Enter trainee's last name.
Enter trainee's date of birth using numbers following the format dd/mm/yyyy, for example 01/12/1980.
Select your answer using the buttons.


Parent or carer details

Enter parent/carer's first name.
Enter parent/carer's last name.
Enter the address name or number. This could a flat, house or building name or number.
Enter the first line of the address. This could be the street name.
Enter the second line of the address if you need to. This could be the village name.
Enter the town or city of the postal address.
Enter the county.
Enter the postcode, with or without spaces.
Enter an email address where we can write to you.
Enter a daytime phone number that we can ring you on. This can be a mobile or landline number.

Session details

Enter details below.
Select your answer using the buttons.


Enter details below.

Submitting your form

Click the submit button only once.

Please be patient as it will take a few moments to process your form and redirect you to our confirmation page.

 

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