Name *

As it appears on your passport

First Name

Last Name

Emergency Contact Name *

First Name

Last Name

COVID Travel Pass *

If you have not been fully vaccinated (including booster) you maybe asked to show a certified negative covid test when crossing international borders.

I have a Valid COVID Travel Pass - Dose 1,2 & Booster Dose

I have a Valid COVID Travel Pass - Dose 1 & 2

I have a Valid COVID Travel Pass - Dose 1

I have a Valid COVID Travel Vaccination exemption certificate

Other Information - please enter below

Medical consent *

I have declared any medical conditions that might be relevant and I will declare any more information should it arise between now and the end of the London to Paris cycle challenge. This information will be kept confidential at all times and will only be shared with medical and emergency professionals who require this information. I understand that if i have any questions I can contact The Fundraising Agency in confidence via events@tfaltd.co.uk. This information will be purged on 25 September 2022

My insurance cover *

All participants must have cycling activity, travel, and medical insurance cover valid in the UK & France.

I have insurance to cover me for cycling activities in UK & France.

I have travel insurance to cover me for any loss, damage, theft to my bike and my possessions.

I have medical insurance to cover me for any medical expenses incurred.

My agreement *

By checking this box I agree that if I do not have the required insurance cover (cycling, travel and medical), I will be liable for any additional costs incurred.

Consent *

I agree the information I submit will only be used by The Fundraising Agency Limited to administer and send me further details with regards to the London to Paris 2021 cycle challenge. This information will then be purged on 1st October 2022. By ticking this box I also agree to the terms and conditions, which are available in the link below. If you have any questions, please contact enquiries@tfaltd.co.uk.

Terms & Conditions (available below) *

I agree to the terms and conditions