Supporter Registration Form 

Please complete the form below if you would like to attend one of our cycling sessions.

If you prefer you can download the form here and please make sure you read our ground rules before you complete the form.

  • Who are you supporting?

  • Name & address of centre / organisation arranging your attendance:(Centre must be registered with Wheels for Wellbeing)
  • Supporter information

  • Emergency Contact

  • Confirmation