Is this program right for your Kiddo? (find out below)

Happy Cyclists Beginner Bike Riding Lessons for KIDDOS! (2020 Bike Season is coming soon!)

Welcome! I'm thrilled that you have taken the first step to learning how this program can help your child learn to ride a bike. Use this form to discover whether this program is a good fit for your child.

We are currently taking reservations for the 2020 season. Our bike season starts again mid-May. (We are all booked up for the 2019 season but can't wait to teach your child how to ride a bike as soon as we can!)

You will receive a phone call in December 2019 to answer your questions and gauge your continued interest. (Please add @happycyclists.com to your address book to ensure that you receive our emails.)

I look forward to speaking with you soon and helping your child learn how to ride a bike!

-Rebecca Cooley, Instructor

Happy Cyclists Beginner Bike Riding Lessons

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* 1. Contact information

Your Name:

Your Child's Name:

Your Child's Age and Height:

Address:

City:

State:

ZIP:

Email:

Phone Number (what is the best phone number to reach you?)

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* 2. What is your child's current level of experience? When did he or she last ride a bike? What was that experience like for them?

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* 3. What is your child's motivation for learning how to ride a bike at this time? Have they personally expressed a verbal desire to you to want to ride a bike or learn how to ride a bike?

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* 4. What strategies has your child taken so far to help them achieve their goal of riding a bike? (check all that apply)

Individual or Group Classes

Practiced on their own

Practiced with a friend or family member

None of the above

Other (please specify)

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* 5. Does your child currently have a bike that fits their height?

Other (please specify)

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* 6. Which area does your child need improvement on? (check all that apply)

Reduce Fear and Anxiety of falling

Reduce Fear and Anxiety of getting on a bike

Gaining Confidence riding on their own without training wheels or a parent holding the bike

Balance

Shifting Gears

Using Brakes and Stopping

Taking Turns

Pedaling

Overall Comfort

Other (please specify)

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* 7. Describe what strategies you have observed your child using to motivate herself/himself to accomplish something (what do she/he do or say to herself/himself)?

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* 8. How did you hear about Happy Cyclists? Which keywords did you use to search for us? (ex. bike lessons Raleigh)

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* 9. Bike Coach, Rebecca Cooley, is a Certified Master Success Coach who specializes in mindfulness and goal achievement. Would you like to receive happiness, mindfulness, and success tips (Rebecca's monthly e-newsletter)?

Yes!

No thank you

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* 10. I have successfully taught children of all ages over the last seven years. Your child's success in my program is my highest priority. Your child's success is dependent entirely on the following factors. PLEASE join me in a commitment to ensure that your child has a successful program in which he or she learns how to ride a bike. If any of the following are not present, please consider that this program may not be the best fit for your child at this time and we can try again next year.

Yes, my child is internally motivated. My child shows clear signs of being able to motivate herself/himself to accomplish a task.

Yes, my child has verbally expressed a desire to learn how to ride a bike.

Yes, my child is self-reliant and committed to practicing several hours per week.

Yes, my child is willing, ready, eager, and prepared to learn and practice.

Yes, my child is psychologically, neurologically, and physically able to learn to ride a bike and practice. (If you're not sure, please indicate below if your child has any issues that may impair her/his ability to learn how to ride a bike, and we can speak more during your phone call.)

**Please share if your child has any psychological, neurological, behavioral, physical issues that may prevent her/him from learning to ride a bike.