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Bikeability Level 2 - Booking Form

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    • Afghanistan
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    (if different to the phone numbers just entered)
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    e.g. 23/04/2021 at 2pm
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    Parent Agreement / Consent

    • My child can already ride confidently without support and apply the brakes.
    • My child will use a suitably sized bike which is in roadworthy condition. I will run a bike check using the guidance provided and if I am in doubt as to whether a cycle is roadworthy, will seek the advice of a professional mechanic.
    • The instructors may refuse to train my child if they deem his/her cycle to be un-roadworthy.
    • My child will wear a British Standard approved helmet which fits comfortably and squarely on my child’s head.
    • Due to social distancing measures I agree to help my child to adjust their helmet if required at the start of the course
    • My child’s bike and belongings are their own responsibility during the course and that CycleSafe will be not liable for any damage/loss that occurs due to negligence.
    • CycleSafe will not be liable for incidents which occur due to my child cycling without due care or attention or following instructions
    • The Instructor may at any time refuse to continue to train my child if their behaviour becomes unsuitable
    • I will encourage my child to practice between each session or after the completion of training to reinforce learning
    • My child will wash/sanitise his/her hands regularly if instructed
    • The instructor will administer any necessary First Aid to my child following Bikeability COVID 19 guidelines
    • The instructor will make small adjustments to my child’s bike, if it will improve their cycling ability or safety following Bikeability COVID 19 guidelines
    • Pupil data collected will be used to support the delivery and monitoring of training sessions/courses. See bikeability.org.uk/privacy-statement/ for further details.
    • This information will not be shared with any third party under the new GDPR laws
    • Although COVID protection measures will be carried out as far as possible during the course, Cyclesafe will not be liable for infections which may occur following the course.
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    Please type Yes, No, or Prefer not to say. If possible please give a description
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    Please indicate any other medical conditions or medicine your child is taking
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    Please draw your signature inside the box
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    Payment must be made at the time of booking to guarantee booking. Bank transfer to account : 22308272 Sort Code : 09-01-30 Name : Denise Lomas
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