Support Crew Registration

terms

  1. Last Name*
    Last Name required!
  2. First Name*
    First Name required!
  3. Address*
    Address required!
  4. Date of Birth*
    Choose your date of birth
     (Click calendar then month to select your DOB)
  5. Gender*
    Are you a boy or a girl?
  6. Email Address*
    Invalid email address!
  7. Confirm Email*
    Invalid email address!
  8. Phone No.*
    Phone number required!
  9. Mobile No.*
    Phone number required!
  10. Emergency Contact Name*
    Contacts name?
  11. Emergency Contact Phone*
    Contact's number?
  12. Support Type - $125*
    Ride group required!
  13. Current Drivers License?*
    Ride group required!
  14. Confident with a trailer?*
    Ride group required!
  15. Shirt Size*
    Shirt is required!
  16. Existing Medical Cond.*
    Any medical condition!
     (See notes above)
  17. Detailed Medical Info.
    Invalid Input
     (See notes above)
  18. Entry Payment - $125*
    Payment method!
  19. Additional Meal Tickets*
    Additional meals?
     (Extra Meal tickets for Saturday night's dinner)
  20. WAIVER RELEASE & INDEMNIFICATION
    In consideration of my entry in the 2018 Central South Island Charity Bike Ride, I have read and hereby agree to the Rules and Conditions of Entry. I hereby release, exempt and indemnify the organizers, sponsors and other persons and organizations involved from all action, proceeding, demands and costs, expenses and claims whatsoever made or taken by any person arising out of my participation in the 2018 Central South Island Charity Bike Ride.
    NB: Persons under the age of 18 cannot submit this online form, a parent or guardian is required to approve an entry for anyone under the age of 18. Please complete a Postal Form from the Registration Menu above if you are under 18.
  21. I agree with Waiver*
    Acceptance is required!
  22. Advertising*
    Please choose an option
     (How did you hear about the ride?)
  23. Anti Spam Security Code
    (Please enter the characters shown below)
  24. Anti Spam*

Rider Online Registration Forms

bikers

Rider Online Registration Forms are on this page

Postal Registrations

snailmail

Postal Entry Forms and detailed information are on this page

The Ride Newsletter

View our photo galleries

photo-strip

Register for the 2018 ride

register-now red

Support the ride sponsors

Sponsors play a major role in any community event. Over the last 9 years the generosity of New Zealand & Australian businesses and individuals have supported the Charity Bike Ride to the tune of $1,600,000! Please view our Sponsors & support these businesses when you can.