Registration | 30/30 Challenge

Name*

First Last

Team name (optional)

If you're entering as part of team please enter your team name here. (We recommend teams of max 4 people).

Age*

Address*

Street Address Address Line 2 Parish Post Code

Email*

Phone*

Business Name

If Applicable

30/30 cycling jersey order

Jersey Type*

Male Jersey Size*

Female Jersey Size*

Unisex Jersey Size*

Given limited spaces / numbers we'd be grateful if you could provide the below information:

Breakfast at The Kiln Saturday 27th April at 8.00 am

Final Day Ride In from Ian Brown’s Cycle Shop 26th May at 10.20 am

Final Word Presentation at Specsavers 27th June at 7.00 pm

Would you like a 30/30 Memento?

Do you think you will manage to raise £900 for Les Bourgs Hospice?*

I agree to take part in the 2023 30/30 entirely at my own risk*

Please transfer £55 per person to:

Lloyds Bank International
Account Name IBCS 30/30 Challenge
Sort Code 30-93-73
Account Number 42268168.

Please put your surname as a reference.

Phone

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