Street Address

City, State, Zip

Phone Number

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London to Amsterdam Cycle Challenge

Please use the form below to secure your place.

PERSONAL INFORMATION

Name

As it appears on your passport

First Name

Last Name

Address

MUFG Office

Contact telephone number

Emergency Contact Name

First Name

Last Name

Emergency contact telephone number

Cycling Shirt Size

To view Size Guide, please see link below this form

PERSONAL TRAVEL INFORMATION

Please ensure this information is typed correctly

Date of Birth

Passport Number

Passport expiry date

Passport country of issue

Would you like to rent a bike

Please ignore this question if not applicable

DIETARY, ALLERGY & MEDICAL INFORMATION

This information may be shared with medical professionals and event partners.

Do you have any dietary requirements/food allergies?

Do you have any non-food allergies and/or conditions?

Do you have any recurring joint or back problems?

Do you have any medical conditions (Asthma, Epilepsy, Angina, High Blood Pressure etc) ?

Do you have any medial allergies? (Penicillin etc)

Please list any medication you take or require below?

Is there anything else you wish to let us know?

Medical consent

I have declared any medical conditions that might be relevant and I will declare any more information should it arise between now and the end of the London to Amsterdam cycle challenge. This information will be kept confidential at all times and will only be shared with medical and emergency professionals who require this information. I understand that if i have any questions I can contact The Fundraising Agency in confidence via info@tfaevents.co.uk. This information will be purged on 01 July 2024.

ACCOMMODATION

Three nights' accommodation is included as part of the challenge. This can be taken as the two nights of the challenge (20 & 21 June 2024) plus the night before 20th June 2024 or the night after (22nd June 2024). Please select from below. Single occupancy rooms are subject to availability and additional charges may apply.

Orpington Hotel, London (19 Jun 2024)

If you require accommodation the night before the challenge please select from below. Supplementary charges maybe applicable.

Campanile Hotel, Dunkirk (20 Jun 2024)

Text

Fletchers Hotel, Ouddrop (21 Jun 2024)

Ibis Hotel, Amsterdam (22 Jun 2024)

Return journey from Amsterdam to London is on Sunday 23 June. Please selct your preferred option (subject to availability)

Availability to join the hybrid Meet and Greet at 12-1pm (GMT) on 03 April 2024 at Ropemaker

Availability to join the training cycles 18 May 2024 in London or 11 May 2024 in Amsterdam (or whichever dates work for you)

YOUR AGREEMENT

My insurance cover

All participants must have cycling activity, travel, and medical insurance cover valid in the UK, France, Belgium, and the Netherlands.

I have insurance to cover me for cycling activities in UK, France, Belgium and the Netherlands.

I have travel insurance to cover me for any loss, damage, theft to my bike and my possessions.

I have medical insurance to cover me for any medical expenses incurred.

My agreement

By checking this box I agree that if I do not have the required insurance cover (cycling, travel and medical), I will be liable for any additional costs incurred.

Consent

I agree the information I submit will only be used by TFA Events Limited to administer and send me further details with regards to the London to Amsterdam 2024 cycle challenge. This information will then be purged on 1st July 2024. By ticking this box I also agree to the terms and conditions, which are available in the link below. If you have any questions, please contact info@tfaevents.co.uk.

Terms & Conditions (available below)

I agree to the terms and conditions

I am happy for TFA Events to add me to the challenge WhatsApp group, using the number I entered above on this form. The group is the key way challenge information is shared.

Yes I am happy to be added

No I would not like to be added

CYCLING SHIRT - SIZE GUIDE

London to Amsterdam Cycle Challenge

Please use the form below to secure your place.

Record KMs | London to Amsterdam Cycle Challenge | FR | Run for Good | Donate

MUFG Fitprints for Good website is owned and managed by TFA Events Limited. TFA Events Limited is a limited company, whose registered company address is 71-75 Shelton Street, Covent Garden, London, United Kingdom, WC2H 9JQ, and registered company no. 15143659. Terms & Conditions | Privacy Policy