Sky Betting & Gaming 2018 Registration form

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

DD
MM
YYYY
Email*
Phone*
(Please provide the phone number that you will be contactable on during the event)
Company*
Job Title*
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)
Cycling Jersey
Please select your chest size for your cycling jersey*
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*
Routes
Please tell us which route you will be taking*
(If you change your mind nearer the time, that's fine!)
Other details
Please tell us whether you work for Sky Betting & Gaming or whether you are a friend/family*
- I work for Sky Betting & Gaming
- I am a friend/family member
Please tell us the name of the Sky Betting & Gaming employee who has invited you on the cycling challenge*
Fundraising for Candlelighters
Please confirm your commitment to fundraise for Candlelighters*
- By entering this challenge, I agree that I will fundraise a minimum of £50 for Candlelighters

Your personal details