Broxtowe Family Cycling Quest registration form

Thank you for taking up the Challenge to be part of The Broxtowe Family Cycling Quest.  We’re delighted to have you involved in our summer adventure!

 
To get you started, all we need to do is ask you a few simple questions in order to register your family.  All the information remains confidential and is required in order for us to assess the success of the programme once you’ve completed your rides.  We also need this information to check whether you’re eligible for 4 hours’ worth of free cycle training for you and your family.

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* 1. Name of lead adult

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* 2. Address

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* 3. What is your age?

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* 4. Are you male or female?

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* 5. At what email address would you like to be contacted?

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* 6. What is your current weight?

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* 7. What is your waist size?

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* 8. How often do you currently cycle?

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* 9. How many hours do you cycle per month?

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* 10. Are there any other adults taking part in your Quest team?  If so, please tell us their names.

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* 11. What is the weight of the other adults in your Quest team? (if known)

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* 12. What is the name of the child participants?

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* 13. How often do they currently cycle? (daily/weekly/monthly/never)

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* 14. How many hours per month do they currently cycle?

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* 15. Thank you for your time.  We'll send you the paper versions of your route maps through the post within the next 7 days.  If you have any additional questions or comments then please let us know. 

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