Register for the Google Ride 2018

Please complete the following information to register for the ride…

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

DD
MM
YYYY
Email*
Phone*
Company*
Job Title*
Other details
Chest size for cycling shirt*
What name would you like on your personalised cycling shirt?*
Do you have any medical conditions we need to be aware of?
(We will ask you to confirm these details on the day of the event)
Do you have any dietary requirements?
(We will ask you to confirm these details on the day of the event)
Would you like your bike to be transported via a Ride25 van from Google London HQ to Yorkshire (and back again)?*
(We will confirm drop-off and pick up days/times closer to the event)
Next of kin details
(We will ask you to confirm these details on the day of the event)
Next of kin name*
Next of kin phone number*

Your personal details