Smart Cycling: Go By Bike – Safe bicycling course for parents of students at Suquamish Elementary

Go By Bike is an exciting new program of the Bicycle Alliance of Washington, offering a 3-hour safe bicycling class to parents of students at Suquamish Elementary School. For parents who do not have a bicycle and helmet, the program will provide loaner bikes and helmets for use during the class. There are only 10 spaces in the class, available on a first-come, first-served basis. Please return the survey as soon as possible to assure your place in the class. This survey is due by April 12, 2013. This course is only for PARENTS. We are hoping to develop more student and family biking opportunities too.

Direct any questions regarding the program to Josh Miller

* 1. What is your first and last name?

* 2. What is a good phone number to reach you?

* 3. What is a good email address to reach you?

* 4. Are you interested in taking a Go By Bike course?

* 5. Would you be able to attend a class for three hours on a saturday?

* 6. Do you have a bicycle?

* 7. Do you have a bike helmet?

* 8. If you have a bike, how often do you ride it?

* 9. For which purposes do you ride your bike?

* 10. For which purposes would you LIKE to ride your bike?

* 11. Could you attend the class on any of the following dates (select all that apply)?

* 12. Would you be able to attend a Go By Bike class this summer or in early fall?