Ride For The Living 2016 - UK Participant Registration Form
Please note: If you are registering as a couple, family or group, we require a separate form for each participant.
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Full name *
As it appears in your passport
Email address *
Date of Birth *
For insurance purposes
Address *
How did you find out about Ride For The Living? *
Why are you joining Ride For The Living?
Optional
Are you participating in Ride For The Living as a cyclist? *
Will you be bringing your own bike? *
Will you be bringing your own helmet? *
How would you assess your biking skills? *
Please select a registration option. *
ONLY 5-STAR HOTEL OPTION AVAILABLE. Please note: Prices are per person for double room occupancy and include flights, hotels and bikes. If you'd like a single or triple room, please indicate in the "other" field and Samantha will contact you directly with an updated registration fee.
Dietary requirements
Please let us know about any dietary requirements or restrictions, ie.: Kosher, vegetarian, gluten-free, lactose intolerant, allergies, etc.
Please advise us on any medical or special requirements.
Are you shomer Shabbos? *
Participant Height *
Jersey size *
Please note Polish sizes may vary from your country, we have provided measurement information in centimeters below.
If you are part of a group, family or couple, please list their names here. If you have booked a shared room, please provide the name(s) of your preferred roommate(s).
Please note: each participant must complete the registration form individually.
By registering for Ride For The Living, I agree that I am liable for the full sponsorship amount (£750). *
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