Instructor Training Organisation Registration Form

Cycle Training West Midlands Instructor Training Organisation (CTWM-ITO)

To register please complete the form and press the ‘submit’ button below.

First name(s):
Last name:
Organisation:
(If applicable)
Address
Building/street 1:
Building/street 2:
City:
County:
Postcode:
Email:
Tel:
Tel (Alternative):
National Standard Instructor (NSI) number:
Plus prefix (this is essential)
If you are a provisionally Accredited Instructor trained by another provider other than CTWM please provide
Date of provisional Accreditation:
Training provider:
Do you currently/intend to deliver Bikeability training? Yes/No
box 5 box 6
Ride leader Mountain biking
First aid Other courses
Register for Cycle Training ITO here