Bike Hire Request Form

If you would like to hire multiple bikes please fill out a separate form for each child.

Rider First Name

Rider Last Name

Please provide your child's height in centimetres

Do you also require the use of a helmet?

Parent First Name

Parent Last Name

Parent Mobile Number

Parent Email Address

Please let us know which program - date, location you would like to hire the bike for.

Before hitting submit please make payment via the bank details below:

Bike hire for single 3hr session = $25

Bike hire for 2 x 3hr sessions = $50

Name: J WALL

BSB: 633000

Account number: 175433788

Please record your surname as a reference.

Bike Hire Request Form

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