Badminton Ride 2017 Entry Form

Please type entry into form, print and send (Then we will be able to read your writing!)
 
Surname (One rider per form):
First Name:
Address:
 
Post Code:
Mobile on the day:
Mobile in case of Emergency:
Email:
Gender M/F:
 
 
Signature:.....................................................................................
(Riders under 16 must get their parents or guardians to sign)
 
Entry Fee (non-refundable): £20 - adult, £15 - 14 years and under to be paid before 6:00 PM on Monday 18th September 2017
Payable on the day £30 - adult, £20 - 15 years and under
 
Please make cheques payable to The Badminton Ride
 
Please type entry into form, print and send entry form to:
Emily Small
8 Corn Gastons, Malmesbury, Wiltshire, SN16 0DR
Telephone: 07525-855124.