Social Cycling Sign Up Form - Maintenance Courses

Social Cycling Maintenance Courses

Our staff will be in touch soon to confirm your booking.

NB: you MUST be a RBKC Resident to take part in these maintenance courses. Please provide a valid postcode below.

Your details

Preferred Course (please select)(Required)

Participant Full Name(Required)

Participant Email address [this will be used for the confirmation email](Required)

Participant Mobile Phone Number(Required)

Participant Postcode(Required)

You must be a resident of RBKC.

Do you need to borrow a bike?(Required)

Emergency Contact Name(Required)

Emergency Contact Phone Number(Required)

Demographic Information

This 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”.

Date of Birth(Required)

Gender(Required)

Ethnicity(Required)

Do you consider yourself to have a disability?(Required)

What is your employment status?(Required)

For more information on the Social Cycling Scheme, click here.