Register for the Cycle Challenge Thank you for supporting Greenfingers Charity! Please fill in the form below to register for the 2018 Greenfingers Garden Re-Leaf Cycle Challenge. Cycle Challenge Registration Form Personal Details Your Name: * Email Address: * Did you mean ? Would you like to sign up to our regular e-newsletter?: * Yes, I'd like to keep up to date with Greenfingers Charity newsNo thank you Telephone Number: * House number/name: * Street: * Town: Please enter your postcode and housenumber, the information will be checked. If approved, the street and city will be filled in for you. County: * Postcode: * In case of an emergency on the day, please provide a contact name and phone number.: * Please provide details of any medical conditions you have. This information will be treated as confidential.: If you would like a Greenfingers T-shirt to wear on the day, please indicate which size.: Small Medium Large X Large XX Large If you are cycing as part of a team, please provide your team name: Which route will you be cycling?: * 50 miles100 miles We hope to provide refreshments before, during and after the walk. Please let us know if you have any special dietary requirements.: Online giving is an easy way to encourage friends, family and colleagues to sponsor you, which is why we recommend setting up a JustGiving page. Please provide the link to your JustGiving Page.: Please tell us how much you hope to raise: Are you happy for Greenfingers Charity to use your name and image in publicity now or in the future?: * Yes No Fields marked with * are required.