Bristol to Bristol Registration Form

First name (required)This field is required

Last Name (required)This field is required

Date of birth

Email Address (required)This field is required

Telephone Number (required)This field is required

Team name ( If applicable)

Address

Distance you will ride

Circle around the lake50 miles75 miles100 miles125 miles150 miles175 miles

Do you need a camping spot for the Friday night? ( Limited spaces) (required)

Yes- I want to sleep under the stars!No thanks- take me to my bed!

Dietary requirements e,g Vegetarian, Vegan, gluten-free etc.

List any health issues or access requirements below

How would you like to pay? Once you are registered we will send you a link for payment,

I would like to pay the registration fee of £35 and fundraise for the remaining £100I would like to pay the full amount of £135 now and decide if I want to fundraise additional funds at a later stage

Emergency Name (required)This field is required

Emergency contact telephone number (required)This field is required

I agree to the Terms and conditions ( www.propsbristol.org/bristol-to-bristol-terms-and-conditions-2021/) (required)Please tick a checkbox

YesNo

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First name (required) Please enter your first name

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Email (required) Please enter your email address Please enter a valid email address (e.g. [email protected])

Find us

Registered Office
The Vassall Centre
Gill Avenue,
Fishponds
Bristol
BS16 2QQ

+44 (0)117 965 3514
[email protected]