Team name: *

Company name
(if relevant):

Team leader: *

Do you require Mountain Bike hire at £40?

Date of Birth: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month of Birth: Mth Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year of Birth: Year 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

If you are entering a company team please use your business address rather than your home address.

Address Line 1: *

Address Line 2:

Town / City: *

County:

Postcode: *

Please supply at least one contact number below: *

Telephone (work):

Telephone (home):

Telephone (mobile):

Email address: *

You can add details for additional team members by clicking the button below.

Please note, it the responsibility of the participants to arrange their own transportation to the start line which is situated 3 miles from Drymen.

Preferred start time on Saturday 20 June 2009 (allocated on a first come first served basis):

How many people will be in your support team:

We will issue your support team with wrist tags to identify them. We ask that they are self-sufficient for food and drink throughout the event. Each participant's entry fee includes tickets for the feast on Saturday evening and Sunday breakfast.

Each team of four will also receive an additional complementary support team ticket for the feast and breakfast. Other support team members will be able to purchase additional tickets on the day at £10 (Saturday feast only) and £5 (Sunday breakfast).

What distance does your team intend to complete:

(This is to give us an indication only - If you feel like going for gold on the day then that is fine!)

Do you plan to camp at Kenmore on Saturday night?

Will you bring your own tent(s) or do you want space in a sleeping tent?

Own tent:

Number of tents:

Space in a sleeping tent:

Number of spaces required:

Will you be staying for breakfast on Sunday 21 June 2009?

Please state numbers staying, including support team members:

Which similar events have you done in the past?

What attracted you to participate?

How did you hear about the event? -- Please Select -- Presentation Previous participant Word of mouth Marketing materials Other

If you select other, please indicate where in the space below:

PLEASE STATE CLEARLY IF ANY OF YOUR TEAM MEMBERS HAS A MEDICAL PROBLEM. Medical problems include conditions such as epilepsy, diabetes, high blood pressure etc. We ask that all participants check with their doctor that they are fit for this event.
Please include names and details: