Child Aged 12 -15 with an adult online entry form

 

This form should be completed by an adult aged 18 or over entering the Challenge accompanied by a child aged 12-15.

Please complete the form below, you will then be sent to a Paypal page where you can complete payment using your paypal account or credit card. Child with a combined adult entry fee is £30.

 

Challenge Rules

  • Entrants 12 to 15 on 8th September 2012 must have the consent of their parent/guardian and must apply jointly with an adult (minimum age of 18). The adult must take part in the Challenge and remains responsible for the safety of the junior applicant for the duration of the Challenge.
  • The adult that has applied jointly with the junior applicant must attend a short briefing at the bike check-in at Moy on Friday 7th September 2012 ( please identify yourself to one of the bike check-in volunteers).
  • There are water stations on the route but each applicant should carry his/her own supply, especially if it is a hot day.
  • Entrants must be fit enough to complete this challenge - if your training hasn't gone as well as you'd hoped, indicate at the bike checkin/sign on that you would like to change from Option 2 to Option 1 and remember to turn up at your revised start time!
  • The Highway Code must be obeyed on the Bike section - during the Challenge the roads are open to vehicular traffic and you must take care to ensure your personal saftey. The Highway Code for cyclists can be found at http://www.direct.gov.uk/en/TravelAnddTransport/Highwaycode/Cyclists/index.htm
  • Helmets must be worn on the Bike section.
  • No ipods (or similar) on the Bike section.
  • No dogs are allowed on the route
  • The organiser’s decisions will be final in all matters relating to this challenge

 

Adults Information
Event
Name
Address
Post Code
Phone Number
Email Address
Date of Birth
   
Childs Information
Child Name
Child Address
Child Post Code
Child Phone Number
Child Email Address
Child Date of Birth
   

 

By completing this form I confirm that:

  1. I am in good health and physically capable of completing this event
  2. I agree to abide by the Challenge rules and all instructions given to me by the event organizers and route marshals.
  3. I understand that no liability can be accepted by the organizers or land-owners for any injury, illness or loss sustained by me before, during or after the event
  4. I pledge to raise minimum £40 sponsorship money