Holiday Courses for Children in Waltham Forest

Booking Information

Dear Parent/ Guardian

If you wish your child to take part in a Bikeability cycle training course, this form must be completed to book a place.

Course Details

Learn to Ride (LTR), this course is 90 mintues for 2 consecutive days. It's for children that cannot ride a bike and would like to learn how to. For children from Reception and above

Level 1, this course is 90 mintues for 2 consecutive days. It's for children that can ride a bike, but need more practice before cycling on the road, such as not being able to cycle with one hand (i.e. to signal left or right). For children from Year 3 and above

PLEASE ONLY SELECT ONE COURSE

Booking information

Age *

Child's cycling ability (once selected appropriate dates will be shown)a *

Child's cycling ability (once selected appropriate dates will be shown)b *

Child's cycling ability (once selected appropriate dates will be shown)c *

Please select ONE course from the options below *

Leyton Jubilee Park, Learn to Ride; 21 & 22 Oct 09.30-11.00 (0 remaining)

Leyton Jubilee Park, Learn to Ride; 21 & 22 Oct 11.15-12.45 (0 remaining)

Leyton Jubilee Park, Learn to Ride; 23 & 24 Oct 09.30-11.00 (0 remaining)

Leyton Jubilee Park, Learn to Ride; 23 & 24 Oct 11.15-12.45 (0 remaining)

Hawkswood Primary, Learn to Ride; 21 & 22 Oct 09.30-11.00 (0 remaining)

Hawkswood Primary, Learn to Ride; 21 & 22 Oct 11.15-12.45 (0 remaining)

Hawkswood Primary, Learn to Ride; 23 & 24 Oct 09.30-11.00 (0 remaining)

Hawkswood Primary, Learn to Ride; 23 & 24 Oct 11.15-12.45 (0 remaining)

My course if FULL, please email me future training opportunities

Please select ONE course from the options below *

My course if FULL, please email me future training opportunities

Please select ONE course from the options below *

Leyton Jubilee Park, Level 1; 21 & 22 Oct 13.30-15.00, School Yrs 3 and above (0 remaining)

Leyton Jubilee Park, Level 1; 23 & 24 Oct 13.30-15.00, School Yrs 3 and above (3 remaining)

Hawkswood Primary, Level 1; 21 & 22 Oct 13.30-15.00, School Yrs 3 and above (4 remaining)

Hawkswood Primary, Level 1; 23 & 24 Oct 13.30-15.00, School Yrs 3 and above (3 remaining)

My course if FULL, please email me future training opportunities

Please select ONE course from the options below * 🛈

My course if FULL, please email me future training opportunities

LOCATIONS

1/ Leyton Jubilee Park, Seymour Road, London E10 7BL (Meet outside the Pavillion building, which is next to the basketball court)

2/ Hawkswood Primary, Antlers Hill, Chingford, E4 7RT

Instructors will be wearing Tabards

I confirm that the trainee will attend at the times and dates I have indicated above.

I will remain with my child for the duration of the training session.

Please enter details of the person taking the lesson

First Name *

Last Name *

Parents Name *

Current School Year *

Gender *

Ethnicity *

Does your child need to borrow a bike? (AGES 7 AND OVER we may be able to provide one)

My child WILL wear a helmet, supplied by me. It is compulsory to wear a helmet to participate on the course. An exemption to the wearing of helmets can be granted if your child’s head wear prevents the fitting of a helmet. Please indicate if you wish for your child to be exempt from wearing a helmet.

I wish my child to be exempt

Please enter any details of medical conditions that the instructors should be aware of

Street Address *

Address Line 2

Postal Code *

Email address *

Confirm Email *

Telephone number *

Emergency phone number

I consent that my child can travel home alone. I will not collect him/her at the end of the session. *

Yes

No

Would you like to be informed, via email, of future training for you and your family? *

Yes

No

Terms and Conditions

I agree that:

I will supply a roadworthy bicycle.

The instructor will check the bicycle at the start of the lesson. The Instructor may make adjustments and repairs to my child's bike if the instructor believes that there is a problem. If the bicycle is deemed unroadworthy, your child will not be able to proceed with the on road training, in the interests of their health and safety.

I will tell Cycling Instructor Ltd about any medical or behavioural conditions that may affect participation in the training.

Cycling Instructor Ltd is not responsible for any injury, loss or damage, which may occur during the journey to or from these courses.

Taking a cycling lesson does not mean that it is safe for your child to cycle in all circumstances. To become a proficient cyclist takes more practice than lessons of this kind can provide.

Bicycle Helmets

Cycling Instructor Ltd will not be held liable for any injury, which is established, may have been prevented or caused by the wearing or not of a helmet. The instructor will advise on the fit of a helmet, but will not necessarily be able to judge from its appearance if it is in good condition.

By the very nature of outdoor activities it may be necessary for staff to physically interact with children, eg, help fit helmets & hi-viz vests, to prevent a fall or administer first aid. This is in the interests of your child's safety.

COVID-19 Information

In order to keep both trainer and riders safe, and prevent the spread of coronavirus, your child must not attend the session if he or she presents COVID-19 symptoms, or a positive lateral flow test.

Privacy Policy

Cycling Instructor Ltd knows that you will want to understand how we use the information we collect when you request a cycle lesson at

www.cyclinginstructor.com.

This notice describes our Data Protection Policy.

Collection of Information

Cycling Instructor Ltd only holds data, which you have entered into a request form for a cycle lesson.

Use of Information Collected

We will only use the information you provide us for the following purpose:

Contact you to provide the lesson
Your email will be put on our email system to inform you of any future training or events which may be of interest. You can opt-out if you receive an email.
We will hold your data for a year when we will redact it.
- You have the right to withdraw consent.
Right to withdraw consent

You may withdraw consent to Cycling Instructor Ltd processing your personal information prior to the lesson by emailing info@cyclinginstructor.com and withdrawing consent.

If you wish to withdraw consent for processing your personal data Cycling Instructor Ltd requires it to provide this service, note that you will no longer be able to use the training services. You can request to withdraw consent at any time but there are some circumstances when this will not be possible (i.e. for safeguarding/legal reasons).

Please sign to accept T&Cs and request a course using the cursor or print page and sign and post to: 171a Landells Rd, East Dulwich, London, SE22 9PN *

clear

By continuing for a lesson you confirm that you accept the above T&Cs. If you are arranging for children from different households to attend you confirm that the parents of those children have given permission for you to arrange the cycle training on behalf of their child.