Current Contact Details About You Loan Details Your Cycling Terms and Conditions Complete Who will see this information? This project is run by Cycling UK, in consultation with Wheels for Wellbeing. Cycling UK are the data controllers and Wheels for Wellbeing are joint data processors. This means that Cycling UK will only share your data with Wheels for Wellbeing to monitor and evaluate the project and support our organisations to continue removing barriers for disabled people to access cycling. Privacy policyCycling UK (“we”, “us”, or “our”) is committed to protecting and respecting the personal data that we hold. If at anytime you would like to remove your data, please contact: [email protected] . If you have questions about our policies, please contact Cycling UK’s Data Protection Officer: [email protected] . A full copy of our project Privacy Policy can be found at Privacy Notice for the Inclusive Cycling Experience | Cycling UK Is this booking for you or on behalf of someone else? This booking is for myself This booking is for someone else Your details First name Last name Email address Phone Number Gender Gender - None -FemaleMalePrefer not to sayOther… Enter other… Are you 18 years old or older? Yes No You must be at least 16 years old to participate. If you are 16 or 17 years old, you must have parental consent. You will be asked to provide parental consent prior to the loan. Your details First name Last name Email address Phone Number Participant Details First name Last name Gender Gender - None -FemaleMalePrefer not to sayOther… Enter other… Is the participant 18 years old or older? Yes No They must be at least 16 years old to participate. If they are 16 or 17 years old, they must have parental consent. They will be asked to provide parental consent prior to the loan. Address Address : Line 1 Address : Line 2 Town County Postcode Challenging behaviours challenging_behaviours Does the participant show any challenging behaviours? Yes No Please provide details Please answer the following questions from the perspective of the person who will have the loan. Leave this field blank Share: