Title
Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email address
*
Mobile phone number
*
Date of birth
*
MM
DD
YYYY
Passport Number
Passport expiry date
*
Passport country of issue
*
Nationality (As shown on passport)
*
Emergency contact name
*
Emergency contact number
*
Do you have any dietary requirements/food allergies?
*
Please Select
No dietary requirements
Vegetarian
Vegan
Dairy-free
Gluten-free
Nut-free
Other (please specify bellow)
Do you have any non-food allergies and/or conditions?
*
Please select
YES (Please provide detail below)
NO
Do you have any recurring joint or back problems?
*
Please select
YES (Please provide details below)
NO
Do you have any medical conditions (Asthma, Epilepsy, Angina, High Blood Pressure etc)
*
Please select
YES (Please provide details below)
NO
Do you have any medial allergies? (Penicillin etc)
*
Please select
YES (Please list details below)
NO
Are you taking or require any medication?
*
Please select
YES (Please list details below)
NO
Is there anything else you wish to let us know?
*
Please select
YES (Please add detail below)
NO
Medical consent
*
I have declared any medical conditions that might be relevant and I will declare any more information should it arise between now and the end of the cycle challenge I am participating in. This information will be kept confidential at all times and will only be shared with medical and emergency professionals who require this information. I understand that if i have any questions I can contact TFA Events Limited.
Hotel night before event
*
No I do not require
Yes please book me a room (from £149)
Hotel Night 1
*
Please select the type of room you would like
Single occupancy room (subject to availability and additional charges apply from £139)
Shared room (do not mind who I share with)
Shared room (please can I share with the person listed below)
Hotel Night 2
*
Please select the type of room you would like
Single occupancy room (subject to availability and additional charges apply from £149)
Shared room (do not mind who I share with)
Shared room (I would like to share with person listed below)
Hotel Night 3
*
Please select the type of room you would like
Single occupancy room (subject to availability and additional charges apply from 199)
Shared room (do not mind who i share with)
Shared room (I would like to share with the person listed below)
Please book me on the following train from Lindau to Munich
*
11:10am (06 July)
1:10pm (06 July)
3:10pm (06 July)
5:10 (06 July)
I do not need a return train
My cycling shirt size is
*
Size guide to right of size (W-Women's dress size / M-Mens chest size). Size up for a looser fit or down for a tighter fit.
X-Small (W-8 / M 33-33)
Small (W-10 / M 35-37)
Medium (W-12 / M 38-40)
Large (W-14 / M 41-43)
X-Large (W-16 / M 44-46)
XX-Large (W-18 / M 47-49)
XXX-Large (W-20 / M 50-53)
Would you like to rent a bike?
*
Please select
NO
YES - A member of our team will be in touch
I have already received my rental bike/I'm speaking to TFA Events about my rental
The make, model and value of the bike you will be riding on the challenge?
*
Would you like TFA Events to transport your bike to and from the UK? (Collection and return will be from Pega Reading office)
*
Please select
NO
YES - (Additional cost of £60 will apply)
My agreement
*
By taking part in the 2025 Pegasystems Cycle Challenge, I am committing to raising £600 money for MSF.
I acknowledge that I take part in this event at my own risk and I will attach no liability to Pegasystems or TFA Events Limited or their staff, contractors or volunteers in respect of any injury, loss, damage, theft or vandalism suffered by me, however caused.
My contact details
*
I consent to my contact details being shared with partners to communicate with me for this challenge.
Insurance agreement (please check all boxes below)
*
I have cycling insurance for cycling activities in Europe.
I have travel insurance to cover me for any loss, damage, vandalism, or theft of my bicycle, accessories and my possessions.
I have medical insurance to cover any medical support and expenses incurred during this cycling challenge.
I agree that if I do not have the insurance cover required for this cycle challenge, my-cycle and The Fundraising Agency Limited will not be liable or responsible.
GDPR Agreement (Privacy policy available below)
*
I consent to having this website store my submitted information so they can respond to me.
I agree that any photos taken or video footage filmed by TFA Events may be used for future marketing and promotional purposes.
Terms & Conditions (available below)
*
I agree to the Terms & Conditions