JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Cycle for Coeliac Event Registration
Event Timing: 1 March - 31 March 2022
Virtual Ride, Cycle the length of New Zealand - individually or in teams (3000km)
Contact us at
healthpromotion@coeliac.org.nz
or 0273517110
This virtual tour is in support of Max and Andrew's Gluten Free for Life, Tour Aotearoa journey
https://www.facebook.com/Gluten-Free-for-Life-Tours-Aotearoa-112480331337083
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Age range
under 15 years
16-24 years
25-39 years
40-49
50-59
60-69 years
70+ years
Are you riding as
an individual
a team
Clear selection
Nickname or Team Name (i.e. gf girls)
*
Your answer
Number of riders in your team?
*
2
4
6
Other:
Required
Riders names
*
Your answer
I understand that it is my own responsibility to ensure that I are following NZ road rules in regard to cycling and have a road safe bike. Familiarize yourself with these safety tips.
https://www.nzta.govt.nz/walking-cycling-and-public-transport/cycling/cycling-in-new-zealand/cycle-safety/
*
Yes
Required
Get your friends, and whanau to pledge to support your cycle for coeliac challenge. (refer to the separate pledge form)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms