The 2009 Mudplug

Step 1 of 3

Entry Form, please complete the form before clicking next

 

2009 Entry Form

   
  First Name  
   
  Date of birth  
  Address  
     
  Town  
  County  
  Postcode  
  Telephone (inc area code)  
  Mobile  
  Email  
  BC License no.  
  Club  
  Team  
  Category  
     
    Master (30-39)  
    G-Veteran (50-59)  
   

DECLARATION
By submitting this entry:
I declare that I am eligible under British Cycling Technical Regulations to enter this race and that the information on this form is complete and correct.
I understand and agree that I participate in this race entirely at my own risk, that I must rely on my own ability in dealing with all hazards and that I must ride in a manner which is safe for myself and all others. I agree that no liability whatsoever shall be attached to the promoter, promoting club, meeting sponsor(s), British Cycling, or any official or member of British Cycling or member of the promoting club in respect of any injury, loss or damage suffered by me in or by reason of the race, however caused.