Entry Form

	Rotary Club of Thorpe Bay
	Entry Form
Foulness Island Bike Ride - 30th June 2002
If you decide not to take part, please pass the information on to a friend

Entry Category	Individual				Family Group	School/College
(check as appropriate)		Adult		Child		Company Team
Entry Fee	£5		£3		£10	£3	each
					Number in Group	Number in team

Entrant's Name(s)		Note! The Closing date is the 15th June. Numbers will be limited to approximately 2000 riders following the exceptional response to last year's event
E-Mail Address

Ages (if under 18)
Address


Telephone Number

Preferred Starting Time
(check as appropriate)	No preference	9.30/10.30	10.30/11.30	11.30/12.30	12.30/13.30	13.30/14.30

How did you hear about this event?
How did you hear about this event?	Ridden before	Poster/Advert	Word of mouth	Website	Other

If entering as an Individual or as a Family Group complete the online form and submit it by using the 'Register' button or print it out and send the completed form to:

Foulness Bike Ride, PO Box 2070, Shoeburyness, SS3 9WH

in either case please use the above address and send a cheque or postal order for the appropriate entry feeamount made payable to The Rotary Club of Thorpe Bay Charity AccountIf you have difficulty or queries call

01702 290754 or email

[email protected] .

Note: If you wish to start the Ride with friends or colleagues, please ensure that all your entry forms are submitted at the same time. Unless this is done, we cannot guarantee that your starting times will be identical.

If you are entering as part of a School, College or Company Team, please complete the section below as well and hand the whole form to your Teacher/Organiser, together with your entry fee, who will co-ordinate the team entry.

School/College/Company
Address

Teacher's/Organiser's Name
Teacher's/Organiser's Telephone Number

Entries will be acknowledged and approximate starting times notified in advance

By submitting this entry I accept that cycling can be strenuous and dangerous. I also accept that the organisers cannot be held responsible for personal injury, accident, loss, damage or public liability. Riders under 10 must be accompanied by an adult.

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