Community Cycling Hub booking form Cycling Hub Bookings Form Name of Organiser * Organisation/Group/Club Name * Address * Postcode * Email * Phone * Please enter a landline or mobile number without spaces Location of Cycling Hub requested * Babbs Mill Elmdon Park Shirley Park Tudor Grange Park Date(s) of Session * Start time of session * Finish time of session * Who is your booking for * Adults only (>18s) Children/Young People only (Under 18s) Both – Adults & Children/Young People Reason for hiring the hub * Closed group session Led cycle ride Social cycling group Bike Maintenance Workshop Other (please state)Other (please state) Approximate number of participants expected * Please provide a description of the type of cycling session you will be delivering * Do you have public liability insurance? (please note this is a requirement) * Yes – I will submit this to [email protected] Yes – I have already submitted this to Solihull Active No – I would like to discuss this requirement further Do you have a recognised cycling qualification to safely deliver? (please note it is a requirement that the person delivering the session has some form of cycle training) * Yes – Ride Leader qualification Yes – Cycle Coach qualification Yes – Bike Mechanic qualification Yes – Other (please state)Yes – Other (please state) No – I would like to discuss this requirement further If you have not already submitted a copy of your cycling qualification for our records then please send it to [email protected] If you have a British Cycling membership (which covers public liability insurance and qualification) you only need to submit a screenshot or photo of your membership card annually. Do you have a DBS & Safeguarding training? (please note this is only a requirement for bookings involving unaccompanied under 18s) * Yes No – Under 18s must be accompanied by an adult Not applicable – No under 18s involved Data Protection & Declarations * I can confirm I am over the age of 18 years old I have read, understand and agree to the cycling hub bookings Terms and Conditions (including code of conduct) I have a risk assessment in place I have submitted proof of public liability insurance and recognised training/qualifications I agree to submit the participation form / update attendances on Lets Ride post-booking (to assist monitoring & evaluation of cycle hub usage) I confirm that I have read and understand the Data Protection Statement If your booking includes under 18s – I have submitted proof of DBS & Safeguarding to [email protected] Data Protection Statement Your information will be held by Solihull MBC in accordance with the Data Protection Act. For more details on how your information will be used, please visit the Solihull Council’s data protection pages. The details on this form will be input into a central Solihull Active database and held securely by Solihull MBC. The information will be used to respond to your enquiry, evaluate the activities organised, improve the effectiveness of our services, and show funders that we offer value for money. Your information may be shared with other council services and partner organisations to ensure our records are kept accurate and to help us to identify services or benefits you may be entitled to or interested in. We may also need to share your information for the prevention and detection of fraud and/or other crimes or as the law requires. We won’t share these details with anybody else, and if you want to have your data removed then you can do this at any time by emailing us at: [email protected] Submit If you are human, leave this field blank.