 | This event has been organised and run under the rules of CTC the national cyclists' organisation. For further information about the CTC and the events and services we offer please contact 0870 873 0060 www.ctc.org.uk |
NYDA Standard Ride Entry Form Scarborough 100 (Sunday, 6th July 2008 )
Organiser: Jim Buddo of 43b Main Street, Seamer, Scarborough, N. Yorks, YO12 4PS Cheque Payable to: Jim Buddo
Name of Event: Scarborough 100 ... From: Morrisons, Eastfield Distance: 100km Fee: £2.00
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Please read and sign (important where appropriate).
(Please use BLOCK CAPITALS)
Name: Mr/Mrs/Miss/Ms(Forename) (Surname)
Address
Postcode
Telephone (Day) Telephone (Eve)
Email address
CTC Membership Number (if applicable)
Date of birth If under 18 parental consent form must be signed
Please give name of a contact in case of emergency during the event:
Name
Relationship Telephone
DISCLAIMER:
I agree that I understand and will abide by the terms and conditions required by the CTC for the safe participation in this activity and to act responsibly and adhere to the rules of the road and countryside. Marshals if they are used are solely to indicate the direction and it is my responsibility to ensure that the manoeuvre is carried out safely. I hereby maintain that I am fit and healthy enough to participate in this activity and my cycle is in a safe, legal and rideable condition. I also accept that the CTC cannot be held responsible for personal injury, accident, loss, damage or public liability during the event.
Name __________________ Date ___ / ___ / ______ Signature ___________________
CTC rides are covered by Organisers Public Liability Insurance and CTC members are covered by third party insurance, all riders who are not members of the organisation are advised to join the CTC or obtain their own insurance.
CTC will not disclose this information to any other person or organisation except in connection with the above purposes. If you do not want us to contact you about CTC membership benefits, products or services, or if you have any query about the use we make of your data, please write to the Data Controller at CTC, 69 Meadrow, Godalming, Surrey, GU7 3HS. CTC, its partners and agents may take photographs of participants for publicity and allied purposes. If you do not want any photographs used please notify the event organiser. |
Please return this form and all other correspondence regarding the ride | |
PARENTAL CONSENT FORM FOR CTC CYCLING ACTIVITIES
All participants under 18 must have signed a CTC parental consent form. The only exemption is where a young person having reached the age of 16 can prove that they are no longer living with parents or guardian and is de-facto living as an independent adult. This will be proven by the supply of evidence such as a rent book or utility bill with the person?s current address in their name or a National Union of Students membership card.
Events set up specifically for children do not usually have any specific age requirements, please clarify with your organiser or see details overleaf.
The minimum age for unaccompanied children is 13 on open-age CTC rides and events. There is no lower age limit if accompanied by a responsible adult acting in loco parentis, but a parental consent form is still needed. Children aged from 13 to 17 may participate unaccompanied in open age activities if they have parental permission to take part in an open activity but parents must understand while CTC extends a welcome to cyclists of all ages and abilities there may be no special provision for children on the activity.
Parents/ guardians must be aware of the demands of any activity, and that they alone make the decision about the ability of the child to complete the activity. They must be aware of the likelihood of the child riding alone, or with company and the arrangements for this to happen. Arrangements to get to and from the ride are wholly the responsibility of the parent/ guardian.
CTC, its members, agents and other participants may take photographs during the courser of the event, mostly for private use but some may be for local or national publicity purposes. If you do not want photographs of your child used in any publications please indicate below.
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