Ride Side by Side Booking Form Name of participant(Required) First Last Phone number of participant(Required)Email address of participant Which is the best way to contact the participant(Required) Phone call Email Text Message Whatsapp Message Which London Borough does the participant live in?(Required) Tower Hamlets Hackney Newham Kensington & Chelsea Hammersmith & Fulham Ride-Side-By-Side only operates in these London BoroughPost code of the participant(Required) Please write any medical conditions or other information that may be relevant(Required) Emergency contact person (name and telephone number)(Required) Bikeworks and our partner organisations request your permission to use photos (or video) of you during a Ride-Side-By-Side session for publicity or promotional purposes.(Required) I consent I do not consent I understand that Bikeworks CIC is not responsible for any injury or any loss or damage to any property which is not caused by an instructor’s negligence and that Bikeworks CIC have no responsibility for any injury. I understand that this session does not constitute cycle training, and does not equip me with the skills necessary to ride a bicycle(Required) I understandThis is an agreement between Bikeworks CIC and the undersigned. It relates to all RSBS activities run by Bikeworks on or after the date of this agreement. This information will be stored by Bikeworks and used in accordance with the preferences you indicate below and your rights under data protection law.(Required) I understandDemographic data collectionThis does not affect your booking and is anonymised and used for monitoring purposes only. If booking on behalf of someone else answer to the best of your knowledge or select “Prefer not to say”.Age(Required) 18-24 25-34 35-44 45-54 55-64 65+ Prefer not to say Gender(Required) Non-binary Gender Fluid Female Male Other Prefer not to say Ethnicity(Required) White: British White: Irish White: Any Other White Background Mixed Race: White &; Black Caribbean Mixed Race: White &; Black African Mixed Race: White &; Asian Mixed Race: Any Other Mixed Background Asian/Asian British: Indian Asian/Asian British: Pakistani Asian/Asian British: Bangladeshi Asian/Asian British: Any Other Asian Background Black/Black British: Caribbean Black/Black British: African Black/Black British: Any Other Black Background Chinese Any Other Ethnic Group Prefer Not to Say Do you consider yourself to have a disability?(Required) Yes No Prefer not to say