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Phil Cooke Challenge Ride
Two Counties Challenge Ride
Event Registration Form
The Routes
100 km route from Dunchurch VH
100 km route from Towcester
60 km route from Dunchurch VH
Pay here
Regs and T & C's
Sponsors and Event partners.
Photo's
Media coverage
FAQ's
Contact Us
Be Prepared !!!!
The right bike!
Dress right !!
Get Fit - Part one !!!
Get Fit - Part two
Get Fit - Part three
Charity endorsements
Please complete this form to send us an email.
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First Name
Family Name
Email:
Please include the email address you would prefer us to contact for this event
Your Chosen event
Two Counties Challenge Ride (19 Aug. 2012)
Phil Cooke Challenge Ride (19 Feb. 2012)
Please register your chosen event on the Drop down box
Your chosen start point
Towcester Start (100 km event only)
Dunchurch Village Hall (100km and 60km)
Please detail your specified start point if participating in the 100km event.
Chosen Distance
100km (65 miles)
60km (40 miles)
This can be changed on the day as long as you inform the signing on official.
Gender
Male
Female
House No./Name
Street/Road Name
Village/Town/City
County
Post code
Club/Team/Organisation
You are representing in the event
Contact Tel. No.
Confirm Email
In case of a misstype above
Date of Birth
(dd-mm-yy)
Contacts in case of emergency on event day
Emergency Contact Name
Emergency contact Number
Please complete the following agreement
I understand and agree to "Challenging Times" event "Terms, Conditions and Regulations" as detailed on this website.
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Please tick the checkbox to confirm you have read the Terms, Conditions and Regulations and accept these as a condition of taking part in the event you are participating in.
Enter the code below in here:
Home
Phil Cooke Challenge Ride
Two Counties Challenge Ride
Event Registration Form
The Routes
Pay here
Regs and T & C's
Sponsors and Event partners.
Photo's
Media coverage
FAQ's
Contact Us
Be Prepared !!!!
Charity endorsements