Tour of Wales – Additional Information

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Contact

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Contact

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Events
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Contact

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Events
- Afghanistan Appeal
Contact

Tour of Wales - Additonal Information

Please fill in the following form to help us with planning The Tour of Wales 2021 event

Name

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.

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