The price for this course is: £10.00

Select a course date:

Date Of Birth:

School Year:

What is your child's gender? This information is recorded for monitoring only by The Bikeability Trust and no personal or identifying details are recorded.

Which of these options best describes your child's ethnicity? This information is recorded for monitoring only by The Bikeability Trust and no personal or identifying details are recorded.

Is your child eligible for free school meals? * Note that this does not include the Universal Free School Meals programme. If you are unsure, please check with your child's school or select 'No'.
This information is recorded for monitoring only by The Bikeability Trust and no personal or identifying details are recorded.

Yes No

Does your child have special educational needs or disability (SEND)? This information is recorded for monitoring only by The Bikeability Trust and no personal or identifying details are recorded.

Yes No

Please provide details of any learning support your child needs at school… Does your child have any learning or behavioural issues that we should be aware of so that your child has a more positive experience?

Do you have any medical conditions we should be aware of? If so, please provide details

*Please populate all fields marked with an asterix

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