Your Contact Details



   
 
Trainee Name:
  First Name Last Name
*

Age

Gender

Name of Guardian (if under 18)

Email address *

Re-enter Email address to confirm *

Unique password for lesson *

Re-enter password to confirm: *

Telephone *
Mobile
Best time to phone

Address


Full Postcode
* Click here to find your address using the postcode you entered


or click here to manually enter an address
House Number & Street Name
Second line
Town/City

Local Authority
 


Please enter details as you may be eligable for a free lesson


Name of Organisation


Employee Number

Only complete this field if you are a TFL employee
Please remember to bring along your staff Oyster card for identification




Work phone number

Full Postcode
Click here to find your work address using the postcode you entered

or click here to manually enter a work address

First line
Second line
Town/City
County

Local Authority


Preferred lesson time on a

Start Location

What are your aims for cycling training? (you may tick more than one box if appropriate) *










Cycling Ability

How did you hear about us?

Any other relevant information.

please provide details of training you would like to attend here and information on any medicines that you may be taking.


Terms and Conditions *



Your lesson details:


Status








If cancelled....
Reason

Date/Time Notified

Cancellation Charge
Instructor Comments


Trainee Feedback:

What did you think of our service?

Comments on Service

How well did the content of the lesson meet your needs?

Comments on Content

Will you cycle more in the future?

Overall are you satisfied with your lesson?

Would you like us to contact you to arrange another lesson?

Please use this space for any other comments you have on the lesson and how we can improve it

Thank you for taking the time to provide us with your feedback.




Level at start
Level at finish
What you did well
What you need to practice
Comments