Event Application Form

Prior to completing this form you will need to have your full Passport Details, to have read the Terms & Conditions and identified the size of your Cycling Jersey.

PASSPORT DETAILS

CYCLING JERSEY

CONTACT DETAILS & EMERGENCY

MEDICAL DETAILS

Please note that all information provided for medical conditions will be kept printed in an envelope with your name on it within the support vehicle. In the event of an incident, this will be relayed to any emergency service or first responders. On completion of the event the envelopes can be collected by you or they will be destroyed. Please give details of any medical conditions that might need to be known by the organiser during the course of the event, including any food or other allergies.

HOTEL ROOM REQUIREMENTS

NOTES

AUTHORISATION

I have read and accept a copy of the Terms & Conditions of this event https://londontoamsterdam.wordpress.com/terms-conditions-of-event/

* Note: Please note that your passport must have at least six months available travel from the date you depart the trip to qualify.

THANK YOU!

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