If you've entered online, complete the form below (for each rider) to save time on the day of the Ride:

Please complete the form below to provide your contact details:

Name:
First Name
Surname:
Last Name
Address:
_
Town/City:
Postcode:
Date of Birth:
(eg 25/01/1975)
Tel. No.:
(Mobile preferably)
Email:
This will be used as the primary means of contact for news & information regarding the event
Emergency Contact:
Contact Name
Emergency Tel. No.:
Contact Tel. No.
Declaration:
 
In submitting this form I hereby acknowledge that I have read and agree to abide by the declaration below.
 
I declare that the information on this form is complete and correct. I understand and agree that I participate in this event entirely at my own risk; that I must rely on my own ability in dealing with all risks; and that I must ride in a manner that is safe to myself and to others. I am aware that when riding on a public highway the function of marshals is only to indicate direction and that I must decide if the movement is safe. I agree that no liability whatsoever shall attach to the promoter, promoting organisation, event sponsor, British Cycling, or any event official or member of British Cycling or member of the promoting organisation in respect of any injury, loss or damage suffered by me in or by reason of the event, however caused.
Enter the code below in here:
 
 
 

 

 

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