Bikeability Consent Form

I agree to the conditions explained in this guidance, and to that stated below, and give permission for my child to attend the course. I understand that training will be on public roads.

I will make sure that:

My child attends all of the training
My child will have suitable wet weather / outdoor clothing and footwear

I also understand that my child would be unable to participate in the training if:

Any of the above points are not met to the satisfaction of the instructor
My child cannot demonstrate adequate bike handling skills
My child is disruptive during training
The instructor considers that my child places themselves, or others, at unacceptable risk

Child's Name *

Date of Birth *

Do you agree to your child taking part and to the conditions shown on this form *

Yes

How would you describe your child's cycling ability *

Like a pro

Very good

A little wobbly

Has never ridden

First Aid: I agree that in an emergency first aid can be administered to my child including anaesthetic *

Yes

Please list any allergies or medical conditions and any specific support needs which your child has

Name of Parent/Guardian giving consent *

Contact number for parent/guardian *

* Required Fields