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Dalkia 100 - 13th June 2024

Rider Registration

Dalkia 100

Name:

Company

Email:

Contact phone number

Emergency contact name

Emergency Contact Number

Any specific dietary requirements

I have viewed the routes and elevation and I confirm I am signing up for ride I am able to undertake. I have suitable equipment for it and I understand the risks and liabilities.

Check box to confirm

Message:

Thank you for entering the Dalkia 100 2024 for Mind - the Mental Health Charity. Your registration information has been receieved.

We'll be in touch with the final details closer to the ride and look forward to seeing you in June.

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