First Name *

Last Name *

Email *

Your address

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City / Town *

Postcode *

County *

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Please tell us your connection to our work: *

I am a parent or guardian of a baby born premature or sick

I am a friend or family member of someone who had a baby born premature or sick

I am a bereaved parent

I am a neonatal healthcare professional

I am a healthcare professional, but don't work directly in neonatal care (e.g. a midwife or GP)

I was born premature or sick

Other

If other, please give details

Why would you like to cycle for Bliss? *

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

Bliss requires you to agree to a sponsorship pledge of £500 for your event place. 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.

Terms and conditions

Please read our terms and conditions (opens in a new tab) and confirm you have read and agree to them below.

I have read and understood the terms and conditions above and would like to apply for a Bliss charity place in RideLondon. I understand that if accepted for a Bliss charity place I will be required to pay a registration fee of £30 and am undertaking a pledge to raise £500 (excluding Gift Aid) for Bliss no later than 22 June 2025.

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.

Yes, I’d like to hear from you by email

Yes, I’d like to hear from you by phone

Yes, I’d like to hear from you by text

Your privacy

We (Bliss and Bliss Scotland) promise to keep your details safe and never pass them on to third parties for marketing purposes. Find out how we look after your personal data in our Supporter Promise. If you have provided a postal address we may occasionally contact you by post, but you can opt out of all communications from Bliss at any time by calling us on 020 7378 1122 or emailing us.

RideLondon-Essex 100 application form

Terms and conditions

Let's keep in touch

Your privacy