Regain Cycle Milan to Venice enquiry form
If you are a wheelchair user and you would like to take part in the Regain Cycle Milan to Venice event, please complete this form to be considered for entry before you pay a registration fee. The numbers of wheelchair users is restricted by availability of hotel rooms.
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Name
Address
Email address
Telephone number
What level of injury are you?
Have you taken part in any cycle rides with Regain previously?
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How much are you planning to fundraise?
How do you plan to fundraise?
With limited wheelchair friendly accommodation, would you be comfortable using a standard room?
Regain can make a grant to cover the costs of a carer but do you think your carer would be willing to fundraise too?
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Submit
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