Alfreton CTC Rider Registration 2018

General Information
This entry form covers all rides on the 2018 Alfreton CTC Programme with the exception of Audax events which require a different entry form and charge an entry fee.


Additional notes: Public roads and rights of way will not be closed and therefore entrants must be aware of other users, ride safely and follow the Highway Code. You should take in to account the variety of riding styles and abilities, and the likelihood that you will catch up with groups of cyclists along the way. Take care not to reduce your standard of cycling when consulting route sheets, joining in observation activities such as looking for treasure hunt clues etc, and stop in appropriate locations.

Forename *
Your answer
Surname *
Your answer
Gender (M/F) *
Address *
Your answer
Address 2
Your answer
Address 3
Your answer
Postcode *
Your answer
E-Mail Address *
Your answer
Home Tel: No *
Your answer
Mobile Tel: No
Your answer
CTC Membership Number *
Your answer
CTC Membership Expiry Date
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Parental Consent
Notes for Parents & Guardians
All participants under the age of 18 must have parental consent. The only exemption is where a young person having reached the age of 16 can prove that they are no longer living with their parents or guardian and are living as an independent adult. This needs to be proven by the supply of evidence such as a rent book or utility bill with the person’s current address in their name or a National Students Union membership card.
The minimum age for unaccompanied children on this event is 13. There is no lower age limit if accompanied by a responsible adult acting in loco parentis, but parental consent is still needed. Children aged 13 to 17 may participate unaccompanied if they have parental permission .
Parents or guardians must be aware:
• of the demands of this cycling event and that they alone make the decision about the ability of their child to complete the ride.
• that the child may cycle with other adults and / or with children, but that there is also a likelihood of the child cycling on their own (for example with treasure hunt events).
• that while CTC extends a welcome to cyclists of all ages and abilities, no special provision for children is provided on this event.
Arrangements to get to and from the ride are the sole responsibility of the parent or guardian.

CTC, its members, agents and other participants may take photographs during the course of this event, mostly for private use but some may be for local or national publicity purposes. It may be difficult to ensure that photographs in which your child appears will not be used in any way.
If you have concerns about this please speak to the leader/organiser.

Date of Birth
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Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Relationship to Rider
Your answer
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