PURPLE BANDAGE KIDS CYCLE CHALLENGE
KIDS CYCLE CHALLENGE REGISTRATION FORM
RIDERS NAME: *
RIDERS SURNAME: *
RIDERS AGE: *
DATE OF BIRTH: *
MM
/
DD
/
YYYY
PARENT / GUARDIANS FULL NAME: *
PARENTS / GUARDIANS CONTACT NUMBER: *
RACE CATEGORY: *
Required
RACE INDEMNITY: I HAVE READ, UNDERSTOOD AND ACCEPT THE INDEMNITY AS PER TICKET. *
Required
TICKET NUMBER *
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