HILL BIKE RIDE INTERNET BOOKING FORM
send the completed form with entrance fee cheque (adults £6, children
under 17 £3) payable to:
Burgess Hill Bike Ride to 64 Cuckfield Road, Hurstpierpoint, BN6 9SB
to arrive as soon as possible. Receipts will be issued if an S.A.E. is
included, otherwise entrants’ packs will be sent out in May.
I have read and
agreed to the above Conditions. I have read the section “Your
Health” and have obtained my doctor’s approval if necessary. I have no
objections to the details below being stored on a database for the exclusive
purposes of this event and for future Burgess Hill Bike Rides. I am 12 years old
Name Signature Age (if 12 - 17)
INDICATE T SHIRT SIZE (delete as appropriate):
If you are aged
12 - 17 please ask your accompanying adult to complete the following:
ask your parent/guardian to sign below in agreement to the Conditions section on
WIN A MOUNTAIN BIKE!
organisers: Burgess Hill,
Haywards Heath and District Round Table (Registered Charity No.
and Burgess Hill District Lions Club (Registered Charity No. 1010082)
Return to section "Your Health"
Return to Main page
You can print this page by simply clicking the printer icon in the tool bar.