Morecambe Midsummer Madness Entry Form

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Please complete all the details on this form. Clicking submit will take to you to secure Paypal entry. If you do not have a Paypal account you can still use a debit or credit card to make a payment.

Morecambe Midsummer Midnight Madness - Entry Form

• First Name *Please enter your first name
• Last Name *Please enter your last name
• Address 1
• Address 2
• Town
• Post Code
• E-mail address *
• Mobile or Number
• CTC Membership Number (if applicable)

Emergency Contact Details

• Name of contact
• Mobile or other contact number
• Relationship to Rider
• Disclaimer Disclaimer for entrants (to be signed at the start of the ride) I agree that I understand and will abide by the terms and conditions required by the CTC for the safe participation in this activity and to act responsibly and adhere to the rules of the road and countryside. It is my responsibility to ensure that all manoeuvres are carried out safely. I hereby maintain that I am fit and healthy enough to participate in the activity described above and my cycle is in a safe, legal and rideable condition. I also accept that the CTC cannot be held responsible for any personal injury, accident, loss, damage or public liability during the event. I am over 18 years of age.
• Confirm you accept the disclaimer *
  I agree to the entry conditions
• Amount of Payment *

 

Verification

• Please enter any two digits *Example: 12
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