fodca

FOREST OF DEAN CYCLE ASSOCIATION

Volunteer trailbuilders, working in partnership with Forest Enterprise & Royal Dean Forest Cycling Club


Forest of Dean Fun Kids Mountain Bike Race - Spring Series Internet Entry Form

For postal or web entry

For pay on day

 

Rider Information: complete all please
 First Name:
 Surname:
 Date of Birth:
  Male Female
 Have you BC license:
 Cycling Club:
 Bike:
 Family Address: complete all please
 Title:
 First Name:
 Surname:
 Email address: this is good for results and confirmations
 House No or name:
 Street:
 Town or City:
 County:
 Postcode:
 Country:
 Home Telephone:
 Mobile:
 Payment Details: complete please
 I will pay by 
 Payment type
   
 Note
 Race entered:
 Confirm age category:
Forest of Dean    2nd March  
Forest of Dean    6th April
Llyn Llech Owain  13th April
Abergavenny  19th April
Forest of Dean  5th May
Llyn Llech Owain  11th May
Abergavenny  17th May
 

Emergency & Medical Details

In the interest of safety the Club is seeking certain information about all riders;

Please note all information is kept in the strictest confidence and not available to public view.

Does your child have any medical problems?
No Yes

Contact Name
Relationship
 Telephone
 Contact Mobile
   

 

*

Parental Agreement (as under 18): I hereby declare that I have had the opportunity to read and that I understand the FoD Fun Kids MtB Series Rules and Supplementary Regulations as have or may be issued for the event, http://www.britishcycling.org.uk/nmsruntime/saveasdialog.asp?lID=460&sID=122 and agree to my son/daughter taking part in this event. I have read the "Acknowledgement of the risks of the sport" that my son/daughter has signed and agree that any injuries he/she may suffer will be by his/her voluntary decision to take part in a high-risk activity. 

I am unable to attend this event, my son/daughter will be in the care of  who has agreed to be responsible for him/her throughout the event.

 

DECLARATION: I, the undersigned apply to enter the event described

Forest of Dean Fun Kids MtB Autumn Series :

Acknowledgement of the risks of the sport: I am aware that by taking part in a mountain bike racing event I am exposed to a risk of injury; becoming permanently disabled or suffering some other serious injury and I acknowledge that even in the event that negligence on the part of the organizer, the promoter, the organizing club, the venue owner, or any individual carrying out duties on their behalf were to be a contributory cause of any serious injury I may suffer, the dominant cause of any serious injury will always be my voluntary decision to take part in a high risk activity.  

* I will enjoy the race(s) with a smile and be a good sport

 

* I further declare that I am physically and mentally fit to take part in the event and am competent to do so.

 

* I confirm that I understand the nature and type of event I am entering and its inherent risks and agree to accept the same not withstanding that such risks may involve negligence on the part of the organizers or officials.

 

* I confirm that the bicycle as described below which I compete on shall be suitable and proper for the purpose.

 

* Remember I am required to register on my arrival by signing-on at the designated place not less than 30 minutes prior to commencement of my competition.

 

* I have read the above and acknowledge that my participation in the sport is entirely at my own risk.

 

I have read and understand all rules and statements on entry form Accept terms and conditions? Yes No

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Any questions please?                 

Partners & Donations

to Forestry Commission homepage      

    Pedalabikeaway animation

 

Visit pages at Welsh Cycle Union

 

 British Cycling  go-ride 

Girls Run Too
 

 

 

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Revised: April 20, 2008