NTA / UCD Bike Library Sign-Up Form

Bike Library

Sign-Up Form
Please select the Bike Library you want to join*
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Q1.)Have you cycled an ebike previously?*

YesNo
Q2.)What type of bicycle storage space do you have in your home?(Select all that apply)*

Secure Shed/GarageSecure Back GardenUnsecure Back GardenUnsecure Front GardenIndoor Storage, e.g HallwayOther...
Q3.)What type of bicycle storage space do you have in your workplace? (If applicable)

Secure Cycle Parking Facility (Keycard/Key access)Cycle Parking Stands (Public area, e.g. surface car park)Underground Car Park with Cycle Parking StandsIndoor Storage, e.g. Inside an officeNoneOther....
Q4.)How far do you live from your GAA Club (if you selected Ballymun Bike Library, please select the distance from the Community Centre)*

Within 2km2km-5km5km-10km10km+
Q5.) Do you have any children?*

YesNo
Q6.)How many children do you plan to transport on the ebike/ecargo bike?*

0 (I will cycle alongside my child).123

Q8.)Do you require a child seat, max weight limited (22kg)?*

YesNo
Q9.)What type of bike would you prefer to borrow? Drag each type to the desired position below. (We cannot guarantee that you will receive your first preference, and the exact model may not match the pictures shown below.) *
Q10.) Are you certain that you have placed your first choice in the correct position above?*

YesNo
Should be Empty: