Reservation Request - Experienced Cyclist

The Experienced Cyclist program is offered to your fifth and sixth grade students. They will learn to ride their bikes safely and independently in their environment. Additionally, our instructors certified by Vélo Québec will provide the training.

On the Agenda

The Experienced Cyclist program lasts for 16 hours:

6 hours of theoretical road safety instruction in the classroom;
6 hours of practice in a closed environment during physical education classes;
A group road outing organized with instructors certified by Vélo Québec;
An individual on-road exam.

We invite you to visit the following link to discover Vélo Québec's offerings: https://cyclisteaverti.velo.qc.ca/

Your information

Thank you for your interest in our Aware Cyclist program. To proceed with your reservation request, please answer the following questions. Once completed, you will receive a confirmation email within 72 hours of your request.

** Requests submitted during the summer season will be processed in the order received by mid-August.

** If you wish to book for more than one school, please submit a request for each desired school. **

First name *

Last name *

Email *

Mobile *

Your role in the establishment. *

Director Tenured teacher Physical education teacher

Other

Do you have instructor training? *

Yes No

School name: *

School address: *

Class Information

Is this the first time your school is participating in the Cyclist Averti program? *

Yes No I don't know.

How many classes are interested in participating? *

1 2 3 4 5 6 and up

Do you need to rent a bike for the program? *

**An additional fee of $40 for a fleet applies.**

Yes No

DATE SELECTION (first class) *

Choose a total of 4 different possible dates for the outing and the evaluation. The time slots must be different for each class.

Class name

Holder's name

Number of students in this class

Nombre d'élève dans cette classe

Please select a FIRST choice of date: *

Specify the start time of the desired time slot for this date. **Please note that a block of 2h30 of activity, whether in the morning or afternoon, is required to deliver the activity.

Please select a SECOND choice of date: *

Please specify the start time of the desired time slot for this date. **Please note that a 2.5-hour activity block, either in the morning or in the afternoon, is preferred to deliver the activity.

Please select a THIRD choice of date: *

Please specify the start time of the desired time slot for this date. **Please note that a 2.5-hour activity block, whether in the morning or afternoon, is preferred to conduct the activity.

Please select a FOURTH date choice: *

Please specify the start time of the desired time slot for this date. **Please note that a block of 2 hours and 30 minutes of activity, either in the morning or in the afternoon, is preferred to deliver the activity.

Do you have a second class? *

Yes No

DATE SELECTION (second class) *

Choose a total of 4 different possible dates for the outing and the evaluation. The time slots must be different for each class.

Class name

Name of the holder

Number of students in this class

Nombre d'élève dans cette classe

Please select a FIRST choice of date: *

Please specify the start time of the desired time slot for this date. **Please note that a block of 2 hours and 30 minutes of activity, whether in the morning or afternoon, is required to deliver the activity.

Please select a SECOND choice of date: *

Specify the start time of the desired time slot for this date. **Please note that a block of 2 hours and 30 minutes of activity, whether in the morning or afternoon, is required to deliver the activity.

Please select a THIRD choice of date: *

Please specify the start time of the desired time slot for this date. **Please note that a block of 2 hours and 30 minutes of activity, either in the morning or in the afternoon, is preferred to deliver the activity.

Please select a FOURTH date choice: *

Please specify the start time of the desired time slot for this date. **Please note that a block of 2 hours and 30 minutes of activity, either in the morning or in the afternoon, is preferred to deliver the activity.

Do you have a third class? *

Yes No

DATE SELECTION (third class) *

Choose a total of 4 different possible dates for the outing and the evaluation. The time slots must be different for each class.

Class name

Name of the holder

Number of students in this class

Nombre d'élève dans cette classe

Please select a FIRST choice of date: *

Specify the start time of the desired time slot for this date. **Please note that a block of 2 hours and 30 minutes of activity, whether in the morning or afternoon, is preferred to deliver the activity.

Please select a SECOND choice of date: *

Please specify the starting time of the desired time slot for this date. **Please note that a block of 2 hours and 30 minutes of activity, whether in the morning or afternoon, is required to deliver the activity.

Please select a THIRD choice of date: *

Please specify the start time of the desired time slot for this date. **Please note that a block of 2 hours and 30 minutes of activity, either in the morning or in the afternoon, is required to deliver the activity.

Please select a FOURTH date choice: *

Please specify the start time of the desired time slot for this date. **Please note that a block of 2 hours and 30 minutes of activity, either in the morning or in the afternoon, is desired to deliver the activity.

Do you have a fourth grade? *

Yes No

DATE SELECTION (fourth grade) *

Choose a total of 4 different possible dates for the outing and assessment. The time slots must be different for each class.

Class name

Holder's name

Number of students in this class

Nombre d'élève dans cette classe

Please select a FIRST choice of date: *

Please specify the starting time of the desired time slot for this date. **Please note that a block of 2 hours and 30 minutes of activity, either in the morning or in the afternoon, is required to deliver the activity.

Please select a SECOND choice of date: *

Please specify the start time of the desired time slot for this date. **Please note that a 2h30 activity block, either in the morning or in the afternoon, is required to deliver the activity.

Please select a THIRD choice of date: *

Specify the start time of the desired time slot for this date. **Please note that a block of 2 hours and 30 minutes of activity, whether in the morning or afternoon, is required to deliver the activity.

Please select a FOURTH date choice: *

Please specify the start time of the desired time slot for this date. **Please note that a block of 2.5 hours of activity, whether in the morning or afternoon, is preferred to deliver the activity.

Do you have a fifth grade? *

Yes No

Can you please provide us with the remaining classes along with the desired dates and time slots below: *

Additional Information

Do you need a detailed presentation for new teachers? *

Yes No

Other

Thank you for taking the time to complete your reservation request. Please contact us if you have any other information/questions to send us!

By email: christel@cncb.ca
By phone: 450 534-3333