Driving Instructor Cycle Awareness Course
Name
((required))
Address
Building name/number
((required))
Street name
((required))
City
((required))
Area
Postcode
((required))
Email address
((required))
Phone number
((required))
Emergency contact name
((required))
Emergency contact number
((required))
ADI name
((required))
ADI number
((required))
Have you any medical conditions that we should be aware of
((required))
Can you ride a bike?
((required))
Please select
Yes
No
Please select the course you would like to attend
((required))
Please select
Monday 2 August 9:00 – 12:30
Monday 2 August 13:00 – 16:30
Friday 6 August 9:00 – 12:30
Friday 6 August 13:00 – 16:30
We do not rent, sell or trade your personal information; please see our
privacy notice
.
Do you agree with the privacy notice?
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Yes, I have read and agree to the privacy notice.
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