The Big Bad Bike Ride | Application form

APPLY

To sign up for the Big Bad Bike Ride 2011, use the form below to submit your details.

Once your details have been submitted and your application has been confirmed, you will receive an email with a link to the payment page, where you can choose to pay the deposit or the full amount for the ride.

To find out more about the accommodation, route or other information, please use the navigation above.

All fields are required unless otherwise stated as optional.

ABOUT YOU

Title:
First Name:
Surname:
Age: 16-25 26-35 35+
Company: (optional)

YOUR ADDRESS

Address line 1:
Address line 2: (optional)
City:
County:
Postcode:

CONTACT DETAILS

Home telephone:
Mobile telephone:
Email Address:
Confirm email:

EMERGENCY CONTACT

Name:
Home telephone:
Mobile telephone:

OTHER INFORMATION

I wish to stay in the hotel with the group

Pay £39 deposit, and the remaining £130 by July 2011
OR
Pay £169 in full
I wish to make my own accommodation arrangements
read more...

Pay the £39 entry fee. There will be a seperate charge for the hotel Gala dinner if you wish to attend.
I am a bumstopper - I am not riding

Pay the £130 hotel cost.
Please note: you will only be able to pay once your application is approved.
Size for cycling top:
Click here to view the sizing chart.
Note: this does not apply to bumstoppers.
Are you part of a team? Yes No
If 'yes', please give details:
If you are staying in the hotel, who would you like to share a room with?
How did you find out about The Big Bad Bike Ride?
I've done it before
From a friend
Through a website
Facebook
It was in a newspaper
Other
If 'other', please specify:
Upload a photo of yourself(optional)
This makes a big difference to your JustGiving page, and makes it very personal. It also helps us identify everyone and we can do really abusive things to your photo and put you in a much better body. Upload .jpg files only. Your file does not need to be large - less than 1MB is fine. Our super computer will accept much larger files but you may have to wait a few minutes as the form submits.

JUST GIVING

We will be creating a JustGiving account for each entrant as part of the bike ride application. You do not need to use this account, and can use the standard sponsorship form, but we want to encourage as many people as possible to use this process to maximize our Gift Aid.

Note: this section does not apply to bumstoppers.

If you have a JustGiving account, please enter the login details below.
If you are new to JustGiving, please enter a preferred email address to associate with the account, and a password. We do not store these details - they are only used to create your Big Bad Bike Ride JustGiving page.

I have a JustGiving account. These are my details:
I don't have an account. Please create me one with these details:

JustGiving Email:
JustGiving Password:
Confirm Password:

Forgotten your JustGiving password? Don't worry - you can request a new one here.

TERMS

I confirm that I am taking part in the Big Bad Bike Ride at my own risk.
Please note, if you are uploading a photo the form may take a couple of minutes to submit. You will receive an email acknowledging your application.