Entry Form

Please complete and submit the form with your details and the number of adult and child entries – you will then be taken to PayPal to make the charity donation.

Your name*
First Last
Adult riders (over 16yrs old) Quantity
Donation per rider: £ 15.00
Child riders (under 16yrs old) Quantity
Donation per rider: £ 6.00
Your address*
Street Address Address Line 2 Town Region / County Postcode Country
Phone
Email*
Mailing list
- Add me to your mailing list for event updates
Total donation
£ 0.00
Comments
This field is for validation purposes and should be left unchanged.