Group Class To schedule a group class, please complete the form below and proceed with the payment.*Note: If you are located in Orange County, an additional charge will be applied. Step 1/5: Parent Information Choose your class date & enter parent information Parent's First Name * Parent's Last Name * Parent's Phone (10-digits & without spaces) * Parent's Email Address * Location: Select your Area * Select location OC — Newport Beach / Costa Mesa OC — Irvine OC — Laguna Beach / Laguna Hills OC — Dana Point / San Clemente Orange County — other Los Angeles Manhattan Beach Hermosa Beach South Redondo Beach Palos Verdes Torrance Where would you like the lesson to take place? * How many students? * Select 3 in total 4 in total 5 in total What time of day best suits you? * Pick A Date — First Choice? * Pick A Date — Second Choice? * Pick A Date — Third Choice? * How did you hear about us? * Please choose one A friend / family member Google Search / Google Maps Redondo Beach Educational Foundation Hermosa Beach City School District El Segundo Unified School District Facebook / Instagram My local Bike Shop Other Who referred you? Text hidden mpsu Submit Previous Next Step 2/5: Participant (child) Information This is asking about YOUR child, other parents will be asked to provide info about their children seperately. Child's First Name * Child's Last Name * Child's Age * How much bike/e-bike riding experience do you have? * For the lesson, will you have your own e-bike? * Select one Yes No — I will rent one we can use I need a rental referral — I will email you For the lesson, will you have your own helmet? * Select one Yes Does the child have any health conditions we should be aware of? * What e-bike brands are you familiar with? (you can choose more than one) * Rad Power Lectric Hurly Jetson Murf Other Not sure Previous Next Step 3/5: Emergency Contact If parent is unreachable, who should we contact in case of an emergency? Emergency Contact: First Name * Emergency Contact: Last Name * Emergency Contact: Phone (10-digits & without spaces) * Emergency Contact: Email Address * Previous Next Step 4/5: Additional Attendees Who will be attending with you? Please enter details. Participant 2 (2) Parent's First Name * (2) Child's First Name * (2) Parent's Email Address * (2) Parent's Phone (10-digits & without spaces) * Participant 3 (3) Parent's First Name * (3) Child's First Name * (3) Parent's Email Address * (3) Parent's Phone (10-digits & without spaces) * Participant 4 (4) Parent's First Name * (4) Child's First Name * (4) Parent's Email Address * (4) Parent's Phone (10-digits & without spaces) * Participant 5 (5) Parent's First Name * (5) Child's First Name * (5) Parent's Email Address * (5) Parent's Phone (10-digits & without spaces) * Previous Next Almost finished… Yes — add 1 more hour please! 2-hour Multi Participant Lesson Travel Fee (OC & Los Angeles only) Additional Practice: 1-hour Subtotal ($) Step 5/5: Payment Click the "Pay with Stripe" button to enter your payment details. Then click "Pay now." I've got a discount code — please apply! Please enter your code in ALL CAPS (with NO spaces) APPLY Grand Total ($) Pay with Stripe Discount AMT Previous Next Part 1: Event Details Choose your "TOP 3" preferred dates with times as well as location address with city and zip code. First Choice — Day First Choice — Preferred Start Time (lessons are 2 hours) Second Choice — Day Second Choice — Preferred Start Time (lessons are 2 hours) Third Choice — Day Third Choice — Preferred Start Time (lessons are 2 hours) Location: Where would you like the lesson to take place? Part 2: Parent Information Parent's First Name Parent's Last Name Parent Email Address Parent Phone Number How did you hear about us? A friend / family member Google Search Redondo Beach Educational Foundation Hermosa Beach City School/District My local Bike Shop Other Part 3: Participant (child) Information Child's First Name Child's Last Name Child's Age What e-bike brands are you familiar with? (you can choose more than one) Rad Power Lectric Hurly Jetson Murf Other I’m not sure For the lesson, will you have your own e-bike? Yes I don't have a bike — I'll have one rented we can use I'll email you separately for a rental referral For the lesson, will you have your own helmet? Yes No Does the child have any health conditions we should be aware of (allergies/carries epi-pen, wears glasses, etc.) How much bike/e-bike riding experience do you have? Part 4: Emergency Contact Emergency Contact First Name Emergency Contact Last Name Emergency Contact Number Go to Payment What about Private Group Classes?We are often asked about running private lessons for “friend” & “sibling groups” of 2 or 3. If this option would better suit your needs, please email us directly: info@ebikesense.com — OR — click here to contact us.