Registration RTN 2021

Name

Address Line 1

Town

County

Postode

Repeat Email

Home Tel

Mobile

Date of Birth

Medical Conditions
(see Note 1)

Ride Length

Departure Time
(see Note 2)

Team Name, If you have friends/colleagues who would wish to start with, please enter a code word here
(see Note 4)

Emergency Contact Name

Emergency Contact tel

Event Registration Prices

Event registration : £37.00(or fee agreed with charity partner)
Note 1 – Medical Conditions

Do you have any medical conditions which it might be useful for the support team to be aware? Please specify (any information provided will be treated in the strictest confidence).
Note 2 – Departure Times
Note 4 – Team Name

Entering a team name will ensure you are linked together with up to four others. You will all get the same outcome ion the ballot. You will be in the same start group as your friends and colleagues who enter the same name AND who select the same start wave. Please do ensure you share the exact name with your friends as this will be sorted automatically

Event Registration Prices