RideLondon 46 application form

Thank you very much for your interest in taking part in RideLondon-Surrey 46 2019 for Bliss

Please note submitting this application does not guarantee you a place

We will be in touch to let you know if your application has been successful. If you do get a place on the team, we will require you to pay a £15 registration fee.

Also note that this form cannot be saved. You may want to read through it beforehand and make sure you have all the necessary information to complete the form.

Your details

Title

First name

Last name

Date of birth

Gender

Address line 1

Address line 2

Address line 3

Town or City

Postcode

Phone number

Type of phone number

Twitter handle

Your twitter handle with @ sign e.g. @blisscharity

Occupation

Company Name

Riding for Bliss

How did you hear about Bliss' places for this event?

We'd love to know more about how you found out we had places available for this event.

If other please give details

Please tell us why you would like to cycle for Bliss

We'd love to know a bit more about what motivated you to apply to ride for Bliss.

What is your cycle jersey size?

We are pleased to be able to offer you a free Bliss cycling jersey. Please indicate which size you would like. Your jersey will be sent out in May.

We require you to raise a minimum of £250 for Bliss. Do you think you could raise more than this? Yes No

If so, how much?

Please note that Bliss pays £95 plus VAT for each place in this event. This is why we set up a fundraising pledge

How would you hope to raise this amount?

Please give as much detail as possible about your fundraising plans. Remember that fundraising is not limited to asking people for sponsorship!

Does your employer operate a matched giving scheme?

Have you taken part in a cycling/sporting event before? I took part in RideLondon 46 in 2016 I took part in RideLondon 46 in 2017 I took part in RideLondon 46 in 2018

Or if you have taken part in other events, please let us know

Have you supported Bliss in the past?

If so, thank you! How did you support us?

Terms and conditions

Please read carefully

By signing this application form you are committing to raise a minimum of £250 for Bliss (excluding Gift Aid) by 31 August 2019.
I agree to raise and send in to Bliss the first £175 of my fundraising by 5 July 2019. I understand that failure to do so may result in me being unable to take part in the event.
Once your place has been confirmed we require a registration fee payment of £15. If you drop out for any reason your deposit is non-refundable and cannot be rolled over to next year or another event.
Bliss does not take responsibility for any health issues during your training for Ride London or any incidents that occur on race day. If you have any health concerns prior to, or during, your training please consult with your doctor.
Bliss reserves the right to refuse an application at its absolute discretion.
You must be 18 years or over on the day of the race.
If you are unable to participate in the event for any reason, all donated monies collected in support of Bliss must be forwarded to the charity or returned to the individual sponsors. Monies already received by the charity will not be refunded.
You must contact Bliss immediately if you think you are going to be unable to participate.
When Bliss establishes contact described as "urgent", cyclists must respond via email/telephone/in writing as quickly as possible.
By signing up to Ride London you are consenting to Bliss using any images of you in their promotional materials. Please contact us in advance of the event if you are unhappy with this arrangement.

I would like to apply for a Bliss charity place in RideLondon-Surrey 46. I understand that if accepted for a Bliss charity place I am undertaking a pledge to raise a minimum of £250 (excluding Gift Aid) no later than 31 August 2019.

I have read and understood the terms and conditions above

Let's keep in touch

Your support helps the most vulnerable babies in the UK. We’d love to keep you updated with news about our work and ways you can get involved with Bliss. Are you happy to be contacted by:

Post

Telephone

Text message

Your privacy

We (Bliss and Bliss Scotland) promise we will use the personal data you have provided to communicate in the way(s) you have agreed to.

We will not pass on your details on to any third party organisation for their marketing purposes.

Find out how we look after your personal details in our Supporter Promise

You can opt our of all communications from Bliss at any time by calling the Supporter Engagement Team on 020 7378 5740 or emailing supporters@bliss.org.uk.

RideLondon 46 application form