Prudential RideLondon-Surrey 100 - Application Form

Sunday August 16th 2020

Training and fundraising tips from us
Our team supporting and cheering you on the day
Exclusive Ability Bow cycling jersey
The opportunity to Improve the lives of disabled people through improved health and greater independence

So please join our team and you could be on the start line in August. A £45 registration fee will be payable on application and we ask you to commit to raise £550.

We'll be here to support you every step on the way. As soon as you have submitted the application form below, we'll send out your welcome pack to get you started, and be on hand with excellent training and fundraising support.

For more about the event and what it involves take a look at our Prudential Ride London event page>>

About you

First name *

Last name *

Date of Birth *

Day

Month

Year

Occupation

Please state your shirt size

Contact information

Address line 1 *

Address line 2

Town or city *

Post Code *

Email address *

Confirm email address *

To ensure you are human please re-type your email address

Daytime telephone *

Evening telephone *

Please tell us more about why you want to take part in the event

What is your level of experience e.g. have you completed any similar events previously? Please provide details...

Bearing in mind the fundraising target we have set what are your fundraising expectations for this event?

Please supply us with your ideas on how you would approach raising this amount, who are you likely to approach for sponsorship?

Do you have a personal reason or story as to why you would like to support ability bow?

Terms and conditions

I would like to participate in the Prudential RideLondon-Surrey 100 race for Ability Bow and pledge to raise a minimum of £550 which will be paid to Ability Bow no later than 6 weeks after the event has taken place.

If I am not able to fundraise the minimum amount I understand that I am to cover the outstanding amount myself.

I understand that the registration fee of £45 is a non-refundable fee on confirmation of my place.

I hereby confirm that I am 18 years or over and acknowledge that I am taking part in the event at my own risk. I therefore do not hold Ability Bow responsible for any injury or loss that might occur as result of my participation.

By agreeing to this declaration I am also agreeing to the terms and conditions of the event organisers.

Ability Bow reserves the right to use any images taken on the day in promotional materials.

By submitting this form I agree to the terms and conditions stated above.

I confirm that I have read and agree to the terms and conditions of the entry. *

I confirm that I have read and agree to the terms and conditions of the entry.

I would like a guaranteed place in the event and agree to raise the minimum target for Ability Bow. *

I would like a guaranteed place in the event and agree to raise the minimum target for Ability Bow.

Please keep me informed via email of other Ability Bow activities.

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For more about the event and what it involves take a look at our Prudential Ride London event page>>