RideLondon-Essex 2022 - ballot secured, join #TeamPurple

Title *

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Gender *

Female
Male
Non-binary
Other (please specify)

Age *

Have you taken part in RideLondon before? *

Yes
No

Why do you want to cycle for MS-UK? *

What is your fundraising plan? (Please include as much information as possible, including how much you think you can raise) *

What is your job? (This helps us determine potential match-giving or corporate support) *

Please tick here if your employer will match-fund or part-fund you for this event

Yes

Which of the following best describes your connection to multiple sclerosis?

other

Please let us know which other fundraising activities/events you would like to hear about (tick all boxes that apply)

I agree to the terms and conditions *

Yes
No

You must be at least 18 years old on race day – 28 May 2023 to take part in the RideLondon 2023. Accepting an MS-UK charity place is a commitment to raise at least £450.00 for MS-UK. Sponsor money should be sent to MS-UK no later than 23 July 2023, which is eight weeks after the event. You understand that if your fundraising is less than £450.00 after 23 July, 2023 you will be responsible for paying the balance to MS-UK. Gift Aid does not count towards your sponsorship total. Accepting a MS-UK charity place means you agree to only fundraise for MS-UK. Any online donation pages must be 100% fundraising for MS-UK. Although you have secured a place through MS-UK, you will also need to register your details with the race organisers. This is a health and safety requirement and will ensure you receive your rider number and race day information. We will advise you of when we are ready for you to do this. Failure to not complete the registration means will not be able to take part in the RideLondon -100 and this is outside of MS-UK’s control. If you need to withdraw from the RideLondon 2023, please let us know as soon as possible and by no later than Friday 07 April 2023. Photographs and video footage taken at this event may be used for publicity purposes. You participate at your own risk.

GDPR Agreement *

I consent to having this website store my submitted information so MS-UK can respond to my inquiry.

RideLondon-Essex 2022 – ballot secured, join #TeamPurple