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NE250 Charity Cycle Ride
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Events
NE250 Charity Cycle Ride
Contact
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Events
NE250 Charity Cycle Ride
Contact
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Home
Events
NE250 Charity Cycle Ride
Contact
Home
Events
NE250 Charity Cycle Ride
Contact
Home
Events
NE250 Charity Cycle Ride
Contact
Tour of Wales - Additonal Information
Please fill in the following form to help us with planning The Tour of Wales 2021 event
Name
Email
Emergency Contact Name
Emergency Contact Number
YOUR HEALTH
Have you suffered from Covid-19?
Yes
No
Have you had the Covid-19 vaccine?
No
Yes - Single Vaccinated
Yes - Double Vaccinated
If no, will you be vaccinated by the 29th July?
Yes
No
List any medical conditions
List any medicines that you are taking
List any dietary restrictions or allergies
Hotel Accommodation - 2 people per room
Please specify if you have a preference on who you would like to share a room with
Cycling Computer
Do you have a cycling computer?
Yes
No
If yes, the please state the make and model of the computer
If no, do you plan to buy a cycling computer for the Tour of Wales
Yes
No
Additional information - please add any other information for the MC Events team
Terms of the ride
I agree that I am taking part in the Tour of Wales 2021 event entirely at my own risk. I am fully responsible for my actions and the consequences of my actions. I take full responsibility of any costs resulting as an accident caused by me.
Submit