Rider Information and Skills Coaching Consent

This form should be completed by all riders participating in skills sessions from a qualified Trail Academy coach. Please read carefully before providing consent.

Rider's Name

First Name

Last Name

Gender

Male

Female

Date of Birth (of rider)

YYYY

Address

Home Telephone

Mobile Telephone

Contact Email

Emergency Contact Name

First Name

Last Name

Relationship to Rider

Contact Telephone (if different to above)

Mobile Telephone (if different to above)

Medical & Specific Needs

It is your responsibility (or that of a parent/guardian/carer if under the age of 18) to provide the coach with details of any medical or health conditions, allergies, or dietary or other specific needs that might affect your ability to participate in cycling. Please note that a coach is unable to provide guidance or make decisions relating to medical or health conditions. Rather, if you have any concerns about participating in any form of physical activity, please consult with your GP before signing the consent form.

Required Medications

Please list any medications you take on a regular basis. (This information may be required by the emergency services in the event of an accident)

What to Bring With You to Each Session

Please bring with you a helmet (which complies with current safety regulations and NO BMX helmets) any safety items you have like knee pads etc, gloves and a water bottle. You will do most of the lesson outdoors so also bring a waterproof jacket and a warm base layer, for example a fleece or similar. Also wear sensible footwear but be aware the trails can be muddy make sure it’s something you don’t mind getting dirty.

Yes I am happy for photos to be taken

Parental/Guardian/Carer Consent for Riders Under the Age of 18

I have read and understood the information on this form and the coach has satisfactorily answered any questions I have asked. I understand and agree that my child participates in coached sessions and/or training prescription entirely at their own risk. I confirm that the information I have provided is correct and complete to the best of my knowledge.

Yes - I DO consent for participation in skills coaching with trail Academy.

No - I DO NOT consent for participation in skills coaching activities with Trail Academy.

Today's Date

YYYY

PLEASE NOTE

The information provided on this form will be used for the purposes of providing you/your child with skills coaching services throughout the year. This information will be stored, processed and destroyed in accordance with the principles of the Data Protection Act 1998.