SIA Overseas Cycle Ride 2024 test form

To register to take part in the 2024 SIA Overseas cycle ride please fill in the form below

Name*

First Last

Address*

Street Address Town/City County Postcode Country

My email address is:*

The best phone number to reach me on is:*

Does your company assist staff in fundraising or offer matched-funding?*

Yes - they do allow staff to fundraise

No - they do not allow staff to fundraise

Yes - they do offer matched-funding

No - they do not offer matched-funding

I am not sure if they allow staff fundraising, or if they offer matched-funding schemes

If you are happy to, please tell us who your employer is below:

We provide a fundraising pack. Would you prefer:*

A pack to be sent to you in the post?

An electronic version to be emailed to you?

Both?

Would you like us to provide any extra fundraising materials for your event (eg collection tins, balloons, flags or posters)?

We will send you a SIA branded cycling jersey to help you represent us on the day. They come in unisex sizing. What size would you like?*

Fundraising Declaration and acknowledgement of registration fee*

By signing the declaration to participate in this event, I acknowledge that the event has a fundraising target (amount tbc) and I agree to raise sponsorship money to that amount or above. I agree to send all sponsorship monies raised to SIA no later than four weeks after the event date, and will inform SIA as soon as possible if there are any circumstances which may hinder my ability to reach the specified fundraising target in order to discuss the options for participation. I further acknowledge that the event has a registration fee (amount tbc) and my registration will not be processed until this has been received by SIA.

I agree to the fundraising target for this event (amount tbc)

I agree to pay a registration fee (amount tbc) to reserve my place in this event

Fitness declaration*

By signing this declaration to participate in this event, I acknowledge and understand that a marathon is an incredibly strenuous physical challenge, and that I am participating at my own risk. I agree that - to the best of my knowledge – my general state of health and fitness is good enough to allow me to compete in this event. SIA strongly advise that you consult your doctor or a medical professional before undertaking a challenge of this nature, and that if at any time you do become injured or unwell throughout the duration of the challenge, you immediately seek medical advice.

I agree to the above, and will seek appropriate medical advice if necessary prior to undertaking this challenge

Terms and conditions of participation*

I agree that in registering for this event, I am taking part in an activity in support of SIA, who are managing elements of the event, but that the event itself is administered by a third party company, who are a licensed event organiser. Only data necessary to the activity will be shared with this third party, and they will not contact participants at any time before, during or after the event without express consent from yourself. Full terms and conditions of entry into this particular event – as stipulated by the event provider - are available below. In taking part in this event on behalf of SIA, I also give permission for SIA to use any photographs, videos or testimonials taken throughout the course of the event to be used to further raise funds or awareness for the charity throughout all media channels.

I agree to the terms and conditions of participation

We would like to stay in touch.*

We would like to keep you informed about our campaigns, services, appeals and others ways you can support us. Your support and involvement with SIA helps us to empower spinal cord injured people and their families to live fulfilled lives. Are you happy for us to contact you in the future?

Yes please

No thank you

After clicking submit you should be taken to another page, if this doesn't occur, please click on the Register here button again and check your form for errors.

Comments

This field is for validation purposes and should be left unchanged.