Garden Re-Leaf Day Cycle Challenge

2024 Cycle Challenge Registration Form

Thank you for your interest in the Garden Re-Leaf Day Cycling challenge which takes place on Friday 15th of March 2024. To register for the day and ensure that you're kept up to date with the plans, please fill out the form below. We store your data securely according to our privacy statement.

Your name: *

Company Name, if applicable:

Your email address: *

Your telephone number: *

House Number/Name:

Street:

Town:

County:

Postcode:

Please provide a name and contact number, in case of an emergency on the day: *

Do you have any medical conditions we should be aware of? If none, please write 'no'. This information will be kept confidential.: *

We will be supplying refreshments on the day, please let us know know of any dietary requirements. If none, please write 'no'.: *

How far do you intend to cycle?: *

Please let us know what size Greenfingers t-shirt you will require.: *

If riding with a team, please let us know the team name:

If you have a Just Giving page, please let us know the link here:

How much do you hope to raise for Greenfingers?:

Please let us know if we can use your name and image in publicity now or in the future: *

YesNo

Would you like to be added to the Greenfingers mailing list for the newsletter?: *

YesNo

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2024 Cycle Challenge Registration Form

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