Name: The Big Welsh Bike Ride
SKU: 26827
Availability: InStock

Events

£450.00

To register your team of 4, please complete this form and...

Events | Ty Hafan Events

£8.00 – £10.00

Select your race distance below: ...

Events | Ty Hafan Events

£1,000.00

...

Your Details
Title *
Firstname *
Surname *
Are you registering as part of a company? If so, please let us know your company name:
Company Name
Address 1 *
Address 2
Town *
Postcode *
Email *
Telephone *
Date of Birth *
Cycle jersey size

Are you a Welsh speaker?	Yes No
Gender	Male Female


Medical information
Do you have any medical conditions, including allergies or medications that we should be aware of?
*	Yes No
If yes, please provide further information below:
Do you have any health conditions (physical or otherwise) that we need to be aware of, or any special adjustments you might require to participate in the event?
*	Yes No
Do you have any dietary requirements?


Next of kin information
Next of Kin Name *
Next of Kin relationship to you *
Next of Kin contact number *

I agree to raise the minimum fundraising target for this challenge of £1950 *
I acknowledge that by signing up to this event that Tŷ Hafan will contact me about the event and supporting me with my fundraising

The Big Welsh Bike Ride

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