Glen Moray Sportive & Bike Ride 2015 The Glen Moray Sportive & Bike Ride takes place on Sunday 21st June 2015. This year features 3 options (see below) with all monies raised going towards the North East Sensory Services (NESS) Charity. 10 Miles (Family Cycle) Start 12.30 at Glen Moray Distillery Route takes in some of the minor roads around Miltonduff. Cost £5 individual and £10 per team (up to 4) 25 Miles Start 12.30 at Glen Moray Distillery Route travels via Burgie, Califer Viewpoint, Rafford and Pluscarden Cost £5 individual 75 Miles Start 9.00 at Glen Moray Distillery Route travels via Dallas, Knockando, Grantown, Lochindorb, Rafford & Pluscarden. Cost £20 per individual For the 2015 event, the organisers have decided to time participants in the 25 & 75 mile route options following requests from some cyclists that have previously participated in this event. Registration Form You can either register online at www.q-buster.com or by filling in and returning this form to: Neil Skene, North East Sensory Services Elizabeth House, 10 Victoria Crescent, Elgin, IV30 1RQ All forms must be completed/signed by a parent/guardian for anyone under 16 yrs. For the Family Friendly 10 mile route the cost is £5 as an individual or for only £5 extra to enter as a team, with up to 4 team members (£10 per team). For the 25 mile event the cost is £5 per individual. For the 75 mile event the cost is £20 per individual. On course support will be withdrawn after 8hrs for the 75 mile route option. Please also ensure you wear/bring suitable clothing for all weather conditions. Cyclist 1 Name: ....................................... Age ........... Event ............ Cyclist 2 Name: ....................................... Age ........... Event ............ Cyclist 3 Name: ....................................... Age ........... Event ............ Cyclist 4 Name: ....................................... Age ........... Event ............ Main Contact Name: ......................................................................... Main Contact Address: ..................................................................... ................................................................... Postcode: ....................... Telephone No: .......................................... E-mail: ............................ Medical information/Special requirements:- The Moray Council would like permission to take photographs of and/or/film/video this event. These images may be published in our printed publications or website. Please tick this box if you do not wish to be included in any publicity photographs or footage. Data Protection Act - The Moray Council Sports Development section will use the information about you on this form in relation to the above activity you have registered for. Tick here if you object to your details being held for future updates. The Moray Council on behalf of itself, employees and agents hereby disclaims all liability except where negligence can be proven in respect of personal injury or loss suffered by participants attending these activities. In the event of an emergency, I give permission to sign on my behalf for any medical treatment required. Signed: .................................................................. Date: ...................... Volunteers Required The Glen Moray Sportive & Bike Ride is also looking for members of the community to support the organisation of the event on the day. If you are interested in volunteering please contact the Moray Council Sports Department on 01343 563395 or [email protected] D-00725
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