Thank you for your interest in supporting the Family Holiday Charity by joining the CLIA Bike Ride on Wednesday 3rd June. By completing this survey, you are applying for a place and confirming your availability to join us on June 3rd.

*1.Full Name:(Required.)

*2.Company:(Required.)

*3.Email:(Required.)

*4.Mobile number:(Required.)

*5.Please indicate your cycling experience:(Required.)

I am a regular and proficient cyclist

I am intermediate ability

I am a novice (but have cycled before)

I have never ridden a bicycle

*6.Please tell us if you would require hire of a bike to participate?(Required.)

I would need to hire a bike at the event

I can bring my own bike (I would not need to hire)

*7.Please tell us which cycle you would like to do:(Required.)

100km ride to start at 0830

50km ride to start at 1000

20km ride to start at 1100

*8.Please tell us if you have joined this cycle ride before?(Required.)

This would be my first CLIA / Family Holiday Charity cycle ride

I have participated once before

I have participated more than once

*9.The charity event departs and ends in Lymington in the New Forest. Please let us know how you would aim to travel there(Required.)

I would aim to arrive by car

I would aim to arrive by train

Other (please specify)

*10.Your commitment:(Required.)

I commit to training ahead of time so that I can complete the distance on the day

I commit to fundraising for the FHC for the Charity Bike Ride and raising as much as I possibly can

Thank you for your support of the Family Holiday Charity through your participation in the CLIA Bike Ride - we will confirm your place and share more details soon!