Equilibrium | London to Paris Sponsored Bike Ride Application Form

London to Paris Sponsored Bike Ride Application Form

Please fill in and submit this forum if you are interested in joining us for the London to Paris Sponsored bike ride. This form is an application of interest and NOT an event registration form. If you are interested in doing the ride as a family or group then please fill out a form for each individual.


Full Name	Age
Gender Male Female	EQ Username (if applicable)
City/Town		Email
Country		Occupation

Do you have any health or mental conditions which could limit your ability to complete the ride or put you in any danger?			Yes No If yes, please state which
Do you self harm?			Yes No

How fit are you?			Unfit Not very fit Quite fit Fit Athlete

Are you a regular cyclist?			Yes No
Have you done a long distance cycle ride before?			Yes No
Do you have your own bike?			Yes No

Are you willing to be filmed/interviewed?			Yes No
Do you have a valid passport?			Yes No
How do you want to participate? (Please tick all that apply)			Cyclist Support Vehicle Driver First Aid Cycle Mechanic

How did you first hear about the bike ride?

Do you have any comments or questions regarding the event?

Any information you disclose to us will be kept confidential unless otherwise stated or pre-arranged.
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