Cycling4Gaza | 2021 C4G Cycle Solo Registration

Name *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Phone *
Date of Birth *Please enter your date of birth in the following format: dd/mm/yyyy
Have you already participated in a C4G cycle? *
YesNo
What motivated you to be part of this year's Cycle? *
How many km do you commit to cycle for C4G2021? *
How much do you commit to fundraising for C4G2021? *
I am happy for you to use my video footage and photos for public viewing
YesNo
I certify that I am in good physical condition and have trained well enough to participate in the cycle and take full liability of the endeavor *
This box confirms that you understand the level of difficulty of the distance you are choosing to cycle and that you have or will have trained sufficiently to be able to complete the cycle without any problems. As this is not a C4G organised event, all liability must be taken by the individual.Yes
I hereby accept all the terms and conditions of entry *
Conditions of Entry: https://cycling4gaza.org/conditions-of-entry/Yes
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