Cycle Safe: Bicycle Safety Workshop                    Saturday, March 31st at Taman Lembah Kiara
 
Please contact us at : m.iatssforumalumni@gmail.com 
Please bring your own stationeries, water bottle and food containers.
Sign in to Google to save your progress. Learn more
Registration
Registration deadline is 27th of March
As this is a pilot program with 20 limited seats, you will receive a confirmation WhatsApp message.
What would you like us to call you? *
Your full name to be written on the certificate *
Your age
What is your T-shirt size?
Clear selection
Where do you live?                                                                                                   *
TTDI or outside TTDI, please specify (e.g.: Subang Jaya, PJ, Kelana Jaya, Shah Alam, Ampang etc)
If you live in TTDI *
Your mobile number                                                                                                             *
This is for us to share information via WhatsApp for workshop updates & O'bike promo code
Please provide us an emergency contact number   *
Name, Number and your relationship
Bring your own bicycle!
Do you have a bicycle?                                                                                                   *
As this is a practical workshop you will need your own bicycle.                                                                                                      There will be O'Bikes for use on the day and are suitable for 15 year olds and above.
Do you have a bicycle helmet? *
Would you cycle to *
Required
Please share with us why you DO NOT feel safe cycling on the main road? *
Required
Have you attended a bicycle safety workshop before? *
Do you know any road safety behaviour? *
e.g: giving signal, where to stop at a junction or how to cross an intersection
How did you hear about this workshop? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms