Parent/Guardian Name *

First Name

Last Name

Phone *

Used for ride updates like cancellations and primary emergency contact by Bike Bus Edmonton leaders

(###)

###

####

Is there another parent/guardian you would like listed? *

They will receive the same communications as you

Yes

No

My phone number can receive text messages *

Bike Bus updates like ride cancellations will be sent via text message

Yes

No

Child Name *

First Name

Last Name

Child Name (2)

First Name

Last Name

Child Name (3)

First Name

Last Name

How often do you plan to accompany your child on the ride? *

The bike bus doesn't require parent or guardian supervision, see Bike Bus Limitations

Most of the time

Sometimes

Likely never

I don't know yet

At least one of my children is a registered student of the school I chose above *

Yes

No

My child will wear a properly fitted bicycle helmet *

Yes

No

My child has a bicycle in good working order *

Yes

No

My child can start, stop, and steer their bike confidently without assistance *

Yes

No

My child can understand and follow basic instructions from the ride leaders *

Yes

No

Media Release Attestation *

Photos and video may be taken during rides. We share to inspire others—your child’s joy helps grow the movement and show what’s possible with Bike Bus. I have read and agree to the Consent and Waiver presented above

I have read and agree

Parent/Guardian Consent & Waiver Attestation *

I have read and agree to the Consent and Waiver presented above

I have read and agree