The eighth year of this great cycling event, Solent Coasts Cycling Challenge
2010 eight years of this great charity, cycling event

2010 RIDER'S REGISTRATION FORM

Solent Coasts Cycling Challenge, Saturday, 19th June 2010

66 MILES AND 6 FERRY CROSSINGS

Riders First Name

Riders Last Name

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Riders Address

You can complete this form and either send it electronically by clicking on the SUBMIT button, or you can complete it and then print it out and send it in the post with your initial minimum donation of £22.00, which includes £10.00 entry donation and £12.00 for the subsidised ferry tickets.

Riders Date of Birth

Post Code

Please Select

Team Name

Team Leaders Name

Home Telephone

Mobile Telephone

If the initial donation cheque is for a number of entrants, please ensure each individuals details are included so that the organisers can allocate it correctly.

E-mail Address

If you are not starting from Lymington, where will you start?

How did you learn about this event?

GIFT AID

To qualify for gift aid you must be a current UK tax payer, having paid at least the same amount in tax as will be claimed back by the charity in the same tax year. This is currently at the rate of 28p for every £1 donated.

By selecting YES you will enable the charity to claim an additional 28p for each £1 you donate.
Make cheques payable to: "Solent Coasts Cycling Challenge"

Please read statement on right about gift aid

Your Entry Form will be kept on file awaiting receipt of your initial minimum donation of £22.00, including minimum entry donation of £10.00 and £12.00 for your subsidised ferry vouchers. When your cheque has been received and cleared, your entry will be registered.
You will then receive a booklet with details of the two routes available for 2010 entrants, along with Sponsorship Forms and your subsidised ferry vouchers, which will be issued in advance to entrants on payment of the specified amount.

Please click ONCE on the Submit button to send your form

By clicking on the SUBMIT BUTTON you are confirming that you:

understand  if you are in doubt about your health or have a medical condition that could be affected by exercise, particularly a heart condition, you should obtain your doctors approval before participating in this event, which will include strenuous exercise.

understand that if you are under 16, a parent or guardians written permission is required and you must be accompanied by an adult throughout the event.

acknowledge participation in the event is entirely at your own risk and the organisers of Solent Coasts Cycling Challenge cannot be held liable for any injury, loss or damage caused or sustained as a result of participation.

undertake to comply with the Solent Coasts Cycling Challenge Rules that are specified on this web site and in the Rider Information Pack.

understand this is a fundraising event and will endeavour to raise at least a minimum sponsorship of £125.00

understand Solent Coasts Cycling Challenge organisers or their agents may take photographs of entrants taking part in the event and you permit these photographs to be used for promotional purposes.