Private 1:1 Session - Rider Intro Form

Rider Information

First Name

Last Name

Phone

Gender (e.g. man, woman, boy, girl, non-binary, trans man, trans woman, cisgender other) - This information will enable us to best support your inclusion.

Pronouns e.g. she/her; he/him; they/them; other

Where did you hear about us?

What is your preferred way of providing feedback after your session?

Google Review

Facebook Review

Verbal feedback recorded at the end of session

How many years have you been riding (and racing)?

What sort of bike/s do you ride?

Where do you normally ride?

What's your general and bike fitness level?

Are you looking to upgrade your bike soon?

Yes

Maybe

Do you use flat pedals?

Have you had a professional bike fit done?

Yes

Please list any other sports you've been involved with in the past or present.

Please describe the type of events you do, if any:

What do you enjoy most about riding your bike?

What would you generally like to get out of your coaching sessions?

Please list the specific areas you'd like to work on:

Do you consent to your image being used to promote participation in MTB for promotional material including but not limited to social media, website and printed material?

If you suffer from any medical conditions or acute or previous injuries please list them below

Any other comments or requests?

I have read and accept the terms and conditions.

Key Contacts

Emergency Contact Details (24hrs)

First Name

Last Name

Emergency Contact Relationship

Emergency Contact Phone number

Emergency Contact Email address

Medical Doctor

Medical Doctor Name

Medical Practice Name

Medical Practice Phone number

Medical Practice Email address

In the event of an accident that requires urgent care you give consent for us to share the above information with your consent

Yes

Mental, Social and Behavioural health

Based on our own experiences of both learning about and teaching others mountain bike skills, we understand that a person’s emotional and mental state can both impact and be impacted by mountain biking.

We highly recommend a 1:1 or pairs session for those who:

want lots of individual feedback
want a session that is tailored to individual riding goals and experiences
want additional support with the emotional / mental / cognitive aspects of learning
may find the group learning environment challenging

As safety is the highest priority for all our session we ask the following health related questions so that we can support your wellbeing and learning/riding experience.

Is there anything that would be useful for us to know or that you would like us to know in regards to any mental, emotional, social or behavioural conditions or difficulties?

Yes

Please provide a hard copy of your management plan either via email or on the day of the session.

Experience/Condition/Difficulties: (e.g. mental, emotional, social or behavioural)

Plan (if relevant)

Your learning style or preferred way or learning

Attributes of your current life experience that support your learning

RIDER WAITING LIST

Private 1:1 Session - Rider Intro Form

Rider Information

Key Contacts

Medical Doctor

Physical health

Mental, Social and Behavioural health

Locations

Coaching

menu

RIDER WAITING LIST

Private 1:1 Session - Rider Intro Form

Rider Information

Key Contacts

Medical Doctor

Physical health

Mental, Social and Behavioural health

Locations

Coaching

menu

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