JNR Bike Life Otara Registration Form #3

JNR BIKELIFE OTARA

Welcome to our eight-week program tailored to equip your child with essential safety tips and riding knowledge. Upon successful completion, each participant will be rewarded with a brand new bike and helmet. To ensure your child's enrollment, please fill out the registration form accurately. Once approved, our team will be in touch with you promptly.Please note that consistent attendance is crucial for successful completion of the course. We encourage all participants to prioritize attendance to make the most out of this valuable learning opportunity.
Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender
What school are you currently attending?*
Head Size*
This information is to ensure we have the correct Helmet
Height*
To ensure we have the correct bike size, it's important to provide accurate information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Parent/Guardians Name:*
Mobile Number*

Area CodePhone Number
Additional Comments
Should be Empty:

JNR BIKELIFE OTARA