Fleet 20 entry form

E-mail

Name (please enter your details also as Rider 1 if you are riding)

First NameLast Name

Payment Method

I have / will pay £

Address

Street Address

Street Address Line 2

TownCounty

Postal

Mobile Number

Rider 1 details

Name

First NameLast Name

Age

How they are planning to ride

Route you would like to do

(Optional) Team Challenge 1 (eg your school, college or place of work)

(Optional) Team Challenge 2 (eg cub or scout pack, cycling group, family group etc)

Mobile Number Rider 1

Name of Next of Kin

Mobile phone number of Next of Kin

Rider 2 details

Name

First NameLast Name

Age

How they are planning to ride

Route you would like to do

(Optional) Team Challenge 1 (eg your school, college or place of work)

(Optional) Team Challenge 2 (eg cub or scout pack, cycling group, family group etc)

Mobile Number Rider 2

Name of Next of Kin

Mobile phone number of Next of Kin

Rider 3 details

Name

First NameLast Name

Age

How they are planning to ride

Route you would like to do

(Optional) Team Challenge 1 (eg your school, college or place of work)

(Optional) Team Challenge 2 (eg cub or scout pack, cycling group, family group etc)

Mobile Number Rider 3

Name of Next of Kin

Mobile phone number of Next of Kin

Rider 4 details

Name

First NameLast Name

Age

How they are planning to ride

Route you would like to do

(Optional) Team Challenge 1 (eg your school, college or place of work)

(Optional) Team Challenge 2 (eg cub or scout pack, cycling group, family group etc)

Mobile Number Rider 4

Name of Next of Kin

Mobile phone number of Next of Kin

Rider 5 details

Name

First NameLast Name

Age

How they are planning to ride

Route you would like to do

(Optional) Team Challenge 1 (eg your school, college or place of work)

(Optional) Team Challenge 2 (eg cub or scout pack, cycling group, family group etc)

Mobile Number Rider 5

Name of Next of Kin

Mobile phone number of Next of Kin

Rider 6 details

Name

First NameLast Name

Age

How they are planning to ride

Route you would like to do

(Optional) Team Challenge 1 (eg your school, college or place of work)

(Optional) Team Challenge 2 (eg cub or scout pack, cycling group, family group etc)

Mobile Number Rider 6

Name of Next of Kin

Mobile phone number of Next of Kin

Rider 7 details

Name

First NameLast Name

Age

How they are planning to ride

Route you would like to do

(Optional) Team Challenge 1 (eg your school, college or place of work)

(Optional) Team Challenge 2 (eg cub or scout pack, cycling group, family group etc)

Mobile Number Rider 7

Name of Next of Kin

Mobile phone number of Next of Kin

Rider 8 details

Name

First NameLast Name

Age

How they are planning to ride

Route you would like to do

(Optional) Team Challenge 1 (eg your school, college or place of work)

(Optional) Team Challenge 2 (eg cub or scout pack, cycling group, family group etc)

Mobile Number Rider 8

Name of Next of Kin

Mobile phone number of Next of Kin

Rider 9 details

Name

First NameLast Name

Age

How they are planning to ride

Route you would like to do

(Optional) Team Challenge 1 (eg your school, college or place of work)

(Optional) Team Challenge 2 (eg cub or scout pack, cycling group, family group etc)

Mobile Number Rider 9

Name of Next of Kin

Mobile phone number of Next of Kin

Rider 10 details

Name

First NameLast Name

Age

How they are planning to ride

Route you would like to do

(Optional) Team Challenge 1 (eg your school, college or place of work)

(Optional) Team Challenge 2 (eg cub or scout pack, cycling group, family group etc)

Mobile Number Rider 10

Name of Next of Kin

Mobile phone number of Next of Kin

Enter the message as it's shown*

Fleet 20 2020 entry form