Crowdcube Tuscan Hills Challenge – Registration form

Please fill in the details below so that we have all the information we need ahead of the ride.

Your personal details
Name*
First Last
Gender*
Date of Birth*

DD
MM
YYYY
Email*
Phone*
Job Title*
Company*
Address
Address*
Address Line 1 Address Line 2 City Postcode Country
Other details
Chest size for cycling shirt*
Do you have any medical conditions we need to be aware of? (You will also be asked to confirm this on the day of the event)
Do you have any dietary requirements?

Your personal details