Ride London 100

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Inspired by the success of Bradley Wiggins, Laura Trott and the rest of the Team GB cyclists at London 2012? Join TeamSIA for Ride London and become a part of the Olympic cycling legacy.

Ride London 100 is a brand new cycling challenge through the closed roads of London and the Surrey Hills in on Sunday 4 August 2013. 20,000 cyclists will have the opportunity to test themselves on the route made famous by the London 2012 Olympic Road Race.

Quick facts

Date: 04 August 2013
Event type: Cycling
Location: London & Surrey

As this is a new event we are asking people to set up a Justgiving page and raise as much as you can. To register please fill out the form below!

Celebrating the legacy for cycling created by London 2012, Ride London 100 will start in the new Queen Elizabeth Olympic Park, then follow a modified version of the Olympic Road Race on fully closed roads through the capital and onto Surrey's stunning country roads and testing climbs, finishing back in Central London on The Mall.

This route, recently made famous by the world's elite is a perfect ride for club and recreational cyclists.

Apply for a charity place by completing our online registration below or downloading our application form by clicking here. For more information please call 0845 071 4350 or email fundraising@spinal.co.uk (please ignore the clauses about the minimum sponsorship!)

Ride London 100

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Fax: 0845 070 6911

Freephone Advice Line: 0800 980 0501

Fundraising Hotline: 0845 071 4350

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Race Entered	Ride London 100 2013
Charity Place/Own Place	Charity Place - �100.00 holding Donation and a minumum sponsorship of �750.00 Own Place
Have you take part in an SIA Event before?
If yes, which event and when?
Title	Mr Mrs Ms Miss Dr Other
First Name
Last Name
Address
Postcode
Date of Birth
Tel No:
Mobile Number
Email address:
Cycling Jersey Size
Name of Employer
Type of Business
Position Held
Will your employer allow staff fundraising to help
Is there a company newsletter/intranet/magazine
If Yes, then please let us know editorial details
Why have you chosen to run for SIA
How will you raise the �750 min sponsorship?
How did you hear about SIA Marathon places?
Medical History and Fitness Confirmation	A challenge of this nature is a strenuous activity and the decision to run should not be taken lightly. If you are not a regular cyclist you should seek professional advice about your fitness and training requirements If you are over 60 years or if you have any medical conditions that could be adversely affected by exercise, particularly a heart condition, or if you are in doubt about your health, you must obtain a medical certificate from your doctor. Please confirm that to the best of your knowledge your general state of health and fitness is good and you take full responsibility for yourself

I will agree to pay the appropriate holding donation for the charity place for the race I wish to take part in. I commit to raise the minimum sponsorship for the charity place for the race I wish to take part in. I will ensure that the minimum sponsorship is received by SIA no later than 4 weeks after the event. If I have secured my own place then I commit to raisiing as much as I can. You will be entitled to a full fundraising pack and Cycling Jersey. I will be over the age of 18 on the day of the event. I understand that all runners take part at their own risk, and I agree to the terms and conditions stipulated by the race organiser (a full set can be sent on request) All funds raised for SIA through the event must be payable to SIA. I consent to SIA to contacting me via telephone, letter or email for any matter relating to my fundraising and my participation in this race. I give SIA permission to use any photographs/videos taken of me to raise awareness and/or funds for its work and/or events PLEASE NOTE THE RIDE LONDON 100 MUST BE COMPLETED IN 8 HOURS

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Prudential RideLondon-Surrey 100

Sunday 4 August 2013

Ride London 100

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