parkride Contact Form

parkride Contact Form

Fill in the form below and we will contact you asap.

parkride-logo

To help us ensure you and your children get the best parkride experience, it would help us if you could please fill out this short form.

If you have any questions please contact parkride@midlandmencap.org.uk

Your Details / Carer's Details

Firstname (required)

Lastname (required)

Contact Number

Your Email (required)

Your Postcode (required)

Parkride Questions

1. How did you hear about us? (required)

FacebookTwitterMidland Mencap WebsitePersonal Recommendation

Other (please state)

2. Number of Children wanting to attend parkride (required)

12345

Other (please state)

3. What is their age range/s? (required)

+under 5yrs old+5-15yrs+16yrs and above

4. Will you and your children need to borrow parkride bikes? (required)

YesNo

5. Preferred Day of the Week to Cycle (Current cycling days below) (required)

MondayWednesdaySaturday

Any additional information that you need us to know?

I understand that I have to attend a weekday session to be assessed before attending a Saturday session.

I agree to my personal data being stored and used to receive the newsletter.

I agree to receive information via email from Midland Mencap.

Get in touch @ parkride 🙂

 0121 442 2944