Sign up for The Edge Cycle Ride

Your ride

Please select your ride*

The early bird offer applies until 20 May

Are you registering an adult or a child?*

Name of child taking part

First Last

Your details - family ride

For the 15-mile family ride, the minimum age for participants is 8 years old. There is no upper age limit. Participants aged between 8 and 17 years of age must be accompanied by an adult at the event at all times. The maximum group size for the family ride is four, and at least one participant must be over 18 years of age.

Team members' names (up to four people including at least one responsible adult)*

Declaration*

I confirm at least one of our team is over 18 years of age

Team leader's details

Title*

Team leader's name*

First Last

Address*

Street Address Address Line 2 City County Post code Country

Email*

Phone*

Your details

Title*

Name*

First Last

Address*

Street Address Address Line 2 City County Post code Country

Email*

Phone*

Parent / guardian's details

Participants aged between 14 and 17 years of age must be accompanied by an adult at the event at all times. All adults must make the decision whether their under 18-year old is capable of doing the route. All riders taking part in the event must have either completed a cycling proficiency test or have adequate experience of cycling on public highways.

Title*

Parent / guardian's name*

First Last

Address*

Street Address Address Line 2 City County Post code Country

Email*

Phone*

Name of adult who will be accompanying the child for the ride*

For your safety

Emergency contact's name*

First Last

Emergency contact's telephone number*

Do you have any medical conditions we should be aware of?

Does your child have any medical conditions we should be aware of?

Do any of your team members have any medical conditions we should be aware of?

Terms and conditions

I confirm that I have read and accept the terms and conditions of entry

By ticking the box you agree to the terms and conditions stated here.

Your story

We'd love to know why you have chosen to take part in The Edge in aid of the Hospice. Please share your story below.

Before the event, we are keen to promote those who are taking part, and would like to share your story and reason for jumping. Are you happy for our Marketing Team to contact you for these reasons?

I am happy to be contacted

Helping us

How did you hear about the event?

Protecting your data

St Nicholas Hospice Care will only ever use your data in relevant and meaningful ways to you.

You can learn more about data protection and change your preferences at www.stnicholashospice.org.uk/yourdata

Payment

Total

£ 0.00

Credit Card

Card Details

Cardholder Name

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Email

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Your ride

Your details - family ride

Team leader's details

Your details

Parent / guardian's details

For your safety

Your story

Helping us

Protecting your data

Payment

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