Registration | 30/30 Challenge

The registration fee of £50 per person includes your own 30/30 challenge Jersey.

Registration Type:*
Please select
Name*
First Last
Team Members
Please add all team member details (click the + symbol to add more up to a maximum of 4). We also need at least one email address.
Rider Name Chest Size (inches) Long / Short sleeve Jersey Age Email
Age*
Address*
Street Address Address Line 2 Parish Post Code
Email*
Business Name
If Applicable
Chest Size*
In inches for your 30/30 cycling Jersey
Long / Short sleeve Jersey
- Short Sleeve
- Long Sleeve
I/we think my/our chances of raising £900 for Les Bourgs Hospice are...*
- Definitely
- Probably
I/we agree to take part in the 2019 30/30 entirely at my/our own risk*
- I/we agree
Please send a cheque for £50 per person made payable to Ian Brown's Cycle Shop
Email
This field is for validation purposes and should be left unchanged.