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Tour de Bristol

Saturday 6th April, 2019
Our popular Tour de Bristol returns for 2019!

Booking Details

Participant Type: *
Address Line 1*
Address Line 2
Post Code*
Please separate your post code into the two boxes
Telephone No.*
Please confirm your email address*
Date of Birth*
Parental consent
Please tick to confirm parental consent if you are aged between 14 and 18 on the day of the event.
Emergency contact name*
Relationship to you*
Emergency Telephone*
Medical Conditions*
Do you have any medical conditions we should be aware of? If you don't, please enter 'none' in the box.
In memory of
If you are taking part in memory of a loved one, please enter their name.
Relationship to you
Group name
Please enter your Group Name if you are taking part in a group.
Company name
Please enter your Company Name if you are taking part as a corporate team.
How did you hear about this event?
Contact by mail*
Contact by phone*
Contact by email*
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I confirm that I/my group wish to enter this event and understand that I/we do so at my/our own risk and that St Peter's Hospice will not accept liability for any injury or loss as a result of my/our participation but I/we understand that my/our statutory rights remain unaffected. I/we agree that I/we should seek medical advice from my/our general practitioner if I am/we are in any doubt as to my/our physical ability to participate in the event. By completing this form you are giving your permission for any photographs taken of you/your group to be used in future publicity. I understand that the entry fee I have paid for this event is non-refundable and non-transferable. I confirm I have read the terms and conditions for the ride.