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BURGESS HILL BIKE RIDE

  Sunday 10 June 2001

In aid of Knowles Tooth

And other local charities

Sponsored by Schering Health Care and the Burgess Hill Festival Association

APPLICATION FORM

A brand new T Shirt design free to all advanced bookers!

The ninth Burgess Hill Bike Ride takes place on Sunday 10 June, starting and finishing in the town centre. Entrants can take either the 20-mile or the 40-mile route through the lovely countryside around our town, from Wineham in the west, south along the foot of the downs from Fulking and out to woodland east of Plumpton.

The Burgess Hill Bike Ride is jointly organised by the local members of the Round Table and the Lions. Sponsorship money from the event will be used to support the children’s charity Knowles Tooth, based in Hurstpierpoint, and other local charities.

Advanced booking costs £6 for adults and £3 for children, who must be of secondary school age and accompanied by an adult. Teams of cyclists are welcomed. Burgess Hill Round Table and Lions rely on entrants to collect sponsorship money for their charity work and will be awarding prizes to the best fundraisers. Details will be included in your entrant’s pack.

YOU ARE STRONGLY ADVISED TO BOOK IN ADVANCE AS PLACES ARE LIMITED

Registration on the day costs £6 but excludes an event T-shirt: these may be on sale on the day.

Conditions

Cycling on the highway is a potentially hazardous activity, and although the organisers will do all they can to make the Bike Ride as safe as possible all riders take part at their own risk. All riders are expected to observe the rules of the Highway Code, to obey the Golden Rules of the Road (included in the Entrants’ Pack sent to each registered rider) and to follow the instructions of the event organisers. Neither the Burgess Hill, Haywards Heath and District Round Table nor the Burgess Hill District Lions Club (or their members and other event organisers) can be held responsible for loss or damage to personal effects, or for death or illness of or injury to any participant, or loss, damage or injury to the general public or their property.

Your Health

Cycling can be strenuous and riders must be in good health and reasonably fit. It is the responsibility of all riders to ensure that they are medically fit to take part in the Bike Ride. If you have a medical condition which may be adversely affected by exercise (particularly a heart condition) or if you are in any doubt about your health you must get clearance from your doctor before participating. If you are not a regular cyclist we recommend that you take a bike ride two or three times a week for several weeks prior to the event, gradually increasing the distance you cycle. All cyclists are advised to wear a suitable cycling helmet.

   

BURGESS HILL BIKE RIDE APPLICATION FORM

(You can print this form by clicking the Printer icon in the task bar)

Please send your 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 by the end of May. Receipts will be issued if an S.A.E. is included, otherwise entrants’ packs will be sent out by return.

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 or over.

Name                                                                      Signature                                                           Age (if under 17)       

Address                                                                                                                                                                                                               

Post Code                                               Telephone Number                                                                                                               

PLEASE INDICATE PREFERRED ROUTE (delete as appropriate):        40 miles / 20 miles

PLEASE INDICATE T SHIRT SIZE (delete as appropriate):            LARGE / EXTRA LARGE

If you are under 17 please ask your accompanying adult to complete the following:

Name                                                       Address                                                                             Telephone            

 ask your parent/guardian to sign below in agreement to the Conditions section on your behalf:

Signature                                                                            Name                                                                  Date           

TEAM NAME (IF APPLICABLE)                                

NUMBER OF TEAM MEMBERS                

Note: Team leaders should submit all members’ completed forms and entrance fees together

FUND RAISERS WIN PRIZES!

Event organisers:    Burgess Hill, Haywards Heath and District Round Table (Registered Charity No. 1058108)

  and Burgess Hill District Lions Club (Registered Charity No. 1010082)