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Andalusia Cycle Challenge
Register below to become one of 15 people who will cycle across Andalusia, Spain to raise funds for Islamic Relief Canada!
Email address *
First Name *
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Last Name *
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Phone Number *
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Street Address: *
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City
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Province *
Date of Birth: *
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Click "Yes" if you agree: I understand that Islamic Relief Canada will cover the cost of my registration, and I will book and pay for my flights *
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Click "Yes" if you agree: I understand that I must fundraise $2500 CAD for this challenge. *
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Click "Yes" if you agree: I will submit a medical declaration form verifying that I am physically fit and able to take this challenge, by October 1, 2017 *
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Click "Yes" if you agree: I will sign a Waiver of Liability form for Islamic Relief Canada and Andalucian Routes upon arrival to Spain: *
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Name of Emergency Contact: *
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Phone # of Emergency Contact: *
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