Le Tour De Harborne




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Name of individual *
Company/Organisation Name (if applicable)
Are you over the age of 18 ?  *
Email Address *
Contact Number *
Medical Disclaimer 

Although every precaution has been taken to minimise the risk, the event is physical.

By checking the box and submitting this form you are confirming that:

- You are aware that this event is a physical event (riding a stationary bike at your own pace for an hour)

- You are not aware of any medical or other reason that you should not participate. If you are in any doubt please contact your Doctor.

- You will listen carefully and comply with all instructions given to you by Arrive Alive and Harborne BID on the day.

- You must behave sensibly and follow any safety instructions so as not to hurt or injure yourself or others.

- You must be over the age of 18 to take part in the event, ID check may be required.

- You will not take part in the event under the influence of alcohol.

(Please contact us if you have any queries regarding the above, we are here to help)
 *
Riding slots are based on 1 hours continual riding, it is possible to do longer however each rider must achieve a minimum sponsorship of £100 in order for us to hit our target.

What would be your preferred riding Slot(s)

Please be advised it might not be possible to allocate your chosen riding slot due to demand, if your slot is no longer available we will contact you to arrange an alternative slot.
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How many riders are in your team?
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