Teenage riders registration form

Teenage Holiday Registration

Transaction ID (*)

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The 8 digit reference from the booking confirmation, without this we cannot guarantee the booking

Start date of holiday(*)

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Email address (*)

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This will be used for all correspondence, please ensure it is to the correct person

Name of the person who is going on this holiday

Date of birth(*)

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Given Name(*)

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Family Name(*)

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Are you over 18(*)

YesNo

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Name of Parent or Guardian if under 18(*)

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Address(*)

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Emergency Contact

Name(*)

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Phone(*)

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Height(*)

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Weight(*)

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Phone(*)

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(*)

Sign Above

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(*)

I have read the

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Check box to accept