Your Name and Surname (required)

ID / Passport Number (required)

Date of Birth (required)

Your Email (required)

Your Mobile Number (required)

Club

Next of Kin Name (required)

Next of Kin Mobile (required)

Category (required)
Elite, Female, Masters 40+.
EliteFemaleMasters 40+

Participation. (required)
Time Trial - £10Road Race - £10Time Trial + Road Race - £15

On acceptance of this entry, I, the undersigned, intend to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims I may have against the organisers, sponsors or official suppliers for any loss, damage or injury I may sustain as a consequence of my participation in any activities organised by Gibraltar Cycling Association. I declare that I will abide by the eligibility rules and competition rules. I also declare that I have trained sufficiently for the event and that my physical condition has been monitored by a medical doctor. I hereby declare that the above particulars are COMPLETE and CORRECT in every detail.

I accept all term and conditions stated above.