Entry Form for a permanent event held under Audax UK regulations

Fee: £4.00

(£3.00 plus SAEs by post)
Plus £2 temp. membership for non-members.

Choose event

Choose a different start

You may start at any control point. For longer events be aware of the times of available controls/food/sleep stops.

Choose date

You MUST give a start date. You can change it any time beforehand by emailing me.

non-member

Type in your CTC or AUK membership number.

Fee

Non-member £6.00 AUK/CTC Member £4.00

Forename:

Surname

Address1

Address

Phone:

Mobile:

email

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.

emergency contact name

Emergency phone

I acknowledge the terms and conditions below.

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.

Type in the security characters:-