London Brompton Club - 2024 Ride Registration Form

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The information you submit here is used to help with the planning and running of the ride. It is treated confidentially and will only be seen by the ride organisers and LBC admin volunteers, and never shared with anyone else.

Email *

First Name *

Surname *

Have you participated in a London Brompton Club ride before? *

Yes

Please provide the mobile number you will be using on the ride

Ride leaders for the London Brompton Club require you to have cyclist insurance to come on our rides. Please confirm you have this. *

Yes

Please confirm your insurance details here - who is you insurance with & when does your policy expire? *

Do you have any health or medical issues that you think the ride organisers should be aware of? Please provide details if applicable

N.B. information will only be seen by the ride organisers and will be treated with the utmost confidentiality

Emergency contact telephone number

Please provide a telephone number for your emergency contact

Is there anything else you'd like to tell us?

Submit

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