Bike Bus Rider Registration

Rider Registration

Welcome to the Bike Bus! Registering is quick and helps keep every ride safe and smooth. Everyone who rides with the Bike Bus — kids, parents, and volunteers — needs to be registered before joining a ride.
Route
Which Bike Bus route are you registering for?
Rider Information
Rider Name

FirstMiddleLast
Rider Date of Birth

YearMonthDay
Date
⚠️ Note: This form includes a Rider Agreement that must be reviewed and signed by an adult.

Please have a parent or guardian complete this form on behalf of any child.
Are you a parent/guardian registering a child rider?
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Can this phone number receive SMS messages (ie. text message)?
Your Email
Which grade is the child in?
Is the child a registered student of the school this route serves?
Your Name (Parent/Guardian Name)

First NameLast Name
Your Email (Parent/Guardian Email)
Tip: Use the same email for all family members so Bike Bus Alberta knows you're the same family
Are you interested in volunteering as a ride leader?
Emergency Contact Information
Who will be the emergency contact for the child rider?
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relationship to Rider
Rider Medical Information

Medical information relevant to Bike Bus Activities. Programming leaders will have access to this information.
Relevant Medical Conditions

0/230
Relevant Prescription Medications (and instructions)

0/230
Other Relevant Medical Notes (e.g. Severe allergies)

0/230
Help us improve the Bike Bus

Your responses help us show the impact of the Bike Bus when working with funders, schools, and community partners.
Tell us about why you want to ride with the Bike Bus.
For the next two questions, think about days when active transportation like biking or walking is realistic (for example, spring, summer, and fall):
How does this child typically get to school right now?
If this child is not biking regularly, what usually makes it hard to do?

Other
How do you typically travel?
If you’re not biking regularly, what usually makes it hard for you to do so?
Rider agreement
In the next step, you’ll be asked to review and sign the Bike Bus Alberta Rider Agreement.

This agreement explains:
- That Bike Bus Edmonton is a volunteer‑led program and not operated by schools
- The risks associated with group cycling in public spaces
- Expectations for rider behaviour and safety (The Ride Guide)
- That parents and guardians retain responsibility for their children
- A release of liability and waiver of claims
You’ll have a chance to read the full agreement before completing registration.
Signature
Primary Email
This is the email the waiver will be delivered to
Waiver Name

First NameLast Name
Timestamp

YearMonthDay

Hour Minutes
Should be Empty:

Rider Registration

Route

Rider Information

Emergency Contact Information

Rider Medical Information

Help us improve the Bike Bus

Rider agreement