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UK Cyclist: Long-distance and leisure cycling in the South-west and elsewhere

Entry Form for event held under Audax UK regulations

Event: Mines & Mineral Railways off-road   Distance: 67km

WITH FOOD

From: Carharrack   Date: 25 June 2017   Time: 10:00

Members' fee applies to AUK and CTC members only. All others must pay the non-member fee.
Type in your CTC or AUK membership number.

See PARENTAL CONSENT below.
If you are under 18 you MUST bring this form, signed by your parent or guardian, to the start.

Valid email address to receive your form

INSURANCE: Audax UK provides its members (inc.temporary) “ normally resident in the UK ” with 3rd party insurance cover throughout the event for claims in excess of £500. Overseas residents must arrange their own 3 rd party insurance.

By signing this entry form you declare that you are insured as required.

The event is run under Audax UK regulations. You should familiarise yourself with Audax UK regulations, guidance, and advice (available in AUK publications, at www.aukweb.net or on request from the organiser).

The event is not a race or trial of speed. You are expected to follow the rules of the road and show consideration to other road users.
  • The route is on open public roads.
  • You should prepare by studying the route.
  • The route is not waymarked /marshalled.
  • You are responsible for your safety/conduct.
  • Some routes/conditions may be arduous.
  • The organiser provides no rescue service.
PARENTAL CONSENT (required for entrants under 18 years of age) Parents should note the information on this form and be aware that this is an individual ride without leaders.

I am the Parent/Guardian of the Entrant and give my consent to this Entry:

Signed (Parent/Guardian):                                                             Date:

Name (Parent/Guardian, please print):

Under 18s: Print the emailed form, get it signed above, and bring it to the event

Name
phone

I am aged 18 or over. I understand that during the event I am on a private excursion on the public highway and that I am responsible for my own conduct.

  • I agree to abide by Audax UK Regulations for this ride.
  • I have relevant insurance cover as above.
  • Entry fees are not refundable.
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