Name First Last Email Why do you want to be mentored?How long have you been cycling?Why did you start cycling?What’s your favourite thing about cycling?Do you winter cycle?YesNoDo you want to learn how to winter cycle?YesNoWhat type of cycling do you prefer?What’s your availability?Pick all that apply. Mornings 6 - 12 Afternoons 12 - 5 Evenings 5 - 9 Weekdays WeekendsWhat kind of music do you like?What type of sports do you play?If you play a musical instrument what one or ones?Please describe your family. Tell us about any members of your family you’d like to share:Please check all the words that describe you: Outgoing Independent Adaptable Quiet Shy Friendly Serious Adventurous Athletic Musical Artistic Curious ActiveWhat language(s) do you speak or understand?Please share your religious practices (if you’re comfortable disclosing):Do you have any allergies you feel comfortable telling us about?If you have pets, what kind?If you have dogs or cats do you take them along when you cycle?YesNoWhat hobbies or activities do you enjoy on your own?Do you enjoy any of these winter outdoor activities?Choose all the activities you like to do. tobogganing cross-country skiing downhill skiing snowshoeing skating ice hockey or shinnyWould you be interested in attending group outings or events with your mentor? Yes NoDo you have any concerns about the mentorship? Or is there anything else you’d like to share with us?PhoneThis field is for validation purposes and should be left unchanged.
