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CyclingSouth Adult Cycling Course-Apr 2012
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1.
Please provide the following details:
(Required.)
First Name
Surname
Street Address
Suburb
Postcode
Email
Phone number
Date of birth
*
2.
Which course do you wish to participate in?
(Required.)
Learn to Ride (March 2012)
Intermediate Cycling Skills Course (to be announced-May 2011 course is full)
Please specify the date
3.
Do you require the use of a Cycling South loan bike and helmet for the course?
No, I have my own bike and helmet
Yes, I require a helmet
Yes, I require a bike
If you require a bike please specify your height
