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Reserve a place
Personal Details
Bikeability Level 1 (no charge)
Venue
Tower Gardens, Chelmsford
Tower Gardens, Rainsford Road, Chelmsford, Essex
CM1 2PL
Sessions
14-08-2025 (11:00 - 12:00)
Participant Forename
Participant Surname
Email
Telephone
Year Group
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Adult
Gender
Male
Female
Other
Prefer not to say
Ethnicity
Asian - Bangladeshi
Asian - Indian
Asian - Chinese
Asian - Pakistani
Asian - Any other Asian background
Black - Black Caribbean
Black - Black African
Black - Any other Black background
Mixed - White and Asian
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - Any other Mixed background
White - Gypsy/Roma
White - Traveller of Irish Heritage
White - British
White - Irish
White - Any other White background
Any other ethnic group - Arab
Any other ethnic group
Prefer not to say
Receives Pupil Premium?
Yes
No
Prefer not to say
Emergency Contact Name
Emergency Contact Number
Authority to use a public toilet if necessary?
Yes
No
I confirm that my child can cycle for more than one minute unaided without help or stabilisers
Has SEND? (if yes please give details in further information box below)
Yes
No
Prefer not to say
Has medical conditions
Yes
Asthma
Yes
Diabetes
Yes
Hearing Impairment
Yes
Epilepsy
Yes
Allergies
Yes
I confirm that the child must wear a helmet and has a bike with two working brakes
Yes
No (This is required to be able to attend the training)
Further information
Parent First Name
Parent Last Name
Parent Email Address
