Orwell Velo 10 Signing On Form - 18th May 2021
Please note this is now being held on the HENLEY 10 course
Name *
Club *
Email Address *
Personal contact phone number *
Category (Jun, Juv, S, LS, V40, V50, V60, LV40, LV50, LV60) If you are Under 18 you MUST email Paul Moss (paulrmoss@gmail.com) a photograph of a signed Consent Form BEFORE you ride *
Road or TT Bike (you can change your mind on the day) *
Emergency Contact (Don't just give a name. We might actually need to contact them so make it easy for us!)
*
Required
*
Required
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