CYCLESAFE WORKSHOP REGISTRATION

PROGRAM OVERVIEW
CycleSafe workshops are not traditional skills-based rodeos. Instead, they teach important safety concepts, using fun, age-appropriate discussion, demonstrations and activities to reinforce learning. Participants will have a chance to practice what they have learned throughout the session.

PREREQUISITES

All participants must have basic riding skills:
- Ages 5-7 - balancing, pedaling, starting and stopping
- Ages 7-12 - executing hand signals and braking (rear and front handlebrakes)
All participants are required to bring their own helmet.

Participants age 5-7 and 7-9 are encouraged to bring their own bicycles/scooters. Participants age 10-12 will not need a bicycle/scooter.
Workshop 1 – Getting Rollin’
GRADE 1–2/AGES 5–6 – 30 MINUTES
Gettin' Rollin’ is designed to build a foundation of basic cycling and helmet safety knowledge by delivering instruction around proper helmet fitting and hand signals.

Workshop 2 – Predictable Pedaling
GRADE 3–4/AGES 7–9 – 90 MINUTES

Children of this age are more likely to be starting to ride a little further from home, so it is timely to start introducing the various situations they may encounter and have to safely manoeuvre through. These include:
- Stopping Safely
- Riding on Different Terrains/in Different Weather
- Being Predictable
- Communicating with Other Road Users/Shoulder Checks
- Eyes Up/Scanning for Hazards
Workshop 3 - Safely Navigating
GRADE 5–6/AGES 10–12 – 2 HOURS

Children of this age are likely riding alone and on the road with traffic. This is a time when they need to be hyper-aware of, and know how to handle, various situations that they will face while riding. These situations include:
- Right of way & Merging
- Hazard scanning
- Target Fixation and selective attention/inattention blindness
- Edge riding, parked cars, “take the lane”
- How to fall safely

Summer 2023 Dates

Workshop 1 - Gettin' Rollin'

Date	Time	Neighbourhood	Address
September 30	9:00 - 9:30	Debra Dynes	960 Eiffel Avenue

Workshop 2 - Predictable Pedalling

Date	Time	Neighbourhood	Address
September 30	9:45-10:45	Debra Dynes	960 Eiffel Avenue

Workshop 3 - Safely Navigating

Date	Time	Neighbourhood	Address
September 30	11:00-1:00	Debra Dynes	960 Eiffel Avenue

PARENT/GUARDIAN INFORMATION

Please fill out your name and contact information and the name and phone number of an alternate (emergency) contact.
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone

Area CodePhone Number
Parent/Guardian Email
example@example.com
Additional Parent/Guardian Name (optional)

First NameLast Name
Additional Parent/Guardian Phone (optional)

Area CodePhone Number
Additional Parent/Guardian Email (optional)
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone

Area CodePhone Number
Relationship to Participant

Is there anything else you would like to tell us about the participant(s) you are registering today?

0/500
Please choose a date so we can send you an email reminder about your upcoming workshop

DayMonthYear
2 digit day, 2 digit month, 4 digit yearWe recommend choosing a date about 1 week in advance of the session date you have selected above
Would you like to be added to our newsletter?
How did you hear about us?
Which neighbourhood do you live in?
This will help us plan workshops for next year!
Should be Empty:

Rows	Date	Time	Location
Participant 1
Participant 2
Participant 3

PROGRAM OVERVIEW

Summer 2023 Dates

PARENT/GUARDIAN INFORMATION

PARTICIPANT INFORMATION

PARTICIPANT MEDICAL INFORMATION