Year 6 Bikeability

Bikeability Training : 20th, 21st & 22nd January

Child's name*

Childs Class*6KC - Mrs Carey6GC - Mr Caldwell

Select all the below boxes that apply to your child*My child cannot ride a bikeMy child has some experience riding a bike and can pedal without support for at least 10 metresMy child is confident at riding a bikeMy child has a bike in good working orderMy child will need to borrow a bikeMy child will need to borrow a helmet

Current cycling ability*
	1	2	3	4	5
1 – non rider, 5 – very confident on roads

Please use the box below for any additional relevant information including medical.

I give permission for my child to take part in the Bikeability training and allow for relevant adjustments to be made to their bike and/or helmet where considered necessary.*YesNo

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