Individual Registration

Please enter information in the form below to process registration for event Route 1 - 70km Cycle.

First Name *

Last Name *

Address *

Address 2

Phone

Email *

Emergency Contact Name *

Emergency Contact Number *

Comment

Optional Extra Donation

None

€5

€10

€20

€50

Do you have any dietary requirements?

I understand and agree that I participate in this event entirely at my own risk, that I must rely on my own ability in dealing with all hazards and that I must ride in a manner which is safe for myself and all others. I am aware that when riding on a public highway the function of the marshals is only to indicate direction and that I must decide whether the movement is safe.

I agree that no liability whatsoever shall attach to the Promoter or Event Sponsor in respect of injury, loss or damage suffered by me in or by reason of the event, however caused. I understand that if I leave the prescribed cycle route, I will no longer be eligible to avail of stewards, food stops, other assistance etc.

I understand and Agree *

Yes

Payment Information

Amount

€

Payment Method *

Paypal Offline Payment

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Verification code*

Individual Registration

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Tour de Ballyfinnane 2026