Please complete this form answering all relevent fields. NOTE: * indicates entry required. Payment details can be found at the bottom of this page.
Personal Details
Title*
- Select - Mr Mrs Ms Miss
Forename*
Surname*
Gender*
- Select - Male Female
Age*
- Select - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 over 99
Address Line 1*
Town*
Address Line 2
Post Code*
Telephone No*
Mobile No
Emergency Contact Phone No*
Your Email Address*
VALID PAYPAL ADDRESS MUST BE USED
Entry Details
Entry Type *
- Select - Individual Team
Team type
- Select - High School Cadets Services Corporate Cycle Club College Other N/A
Team School Name
Team Town
Are You Interested In Other Team Events Yes No
Transport required (bus) from Edinburgh? £3.00 Per Head - Select - None 09:30 15:00 17:00 *
Up to 4 additional entrants can be included on this form provided that they are all at the same address given by you above. If any, please enter their names and ages below:
Additional Entrant 1 Name
Age
Additional Entrant 2 Name
Additional Entrant 3 Name
Additional Entrant 4 Name
Entry Fees
Adult £15 Ticket Qty
Cost £
Children (Under 16) £10 Ticket Qty
Senior Citizens £10 Ticket Qty
Transport (Bus) £3 Seat Qty
Total Due £
*
Extras
T-Shirts Required (Qty)
Childrens
- Select - None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Small Adult
Medium
Large
XL
There may also be a prize draw. Full details at www.prenticeevents.com. If you can assist in selling tickets (£1 each) please enter the amount of books required and these will be sent to you. Ticket Books (Qty) - Select - None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Please Note: All photographs taken during the event may be used for publicity purposes in the future. By submitting this entry form you are agreeing to this clause.
Thank you for completing the form. Please make cheques payable to ‘Prentice Events’ for the amount above. Please send cheque and this form with a C4 stamped addressed envelope to: Prentice Events, PO Box 29173, Dunfermline, Fife, KY12 9UZ Check the website for PayPal details if paying by credit/debit card.