There are now two methods of registering for Cycle Cambodia 2010.
You can download the requisite forms (see further down this
page) OR you can now register online by clicking on the button
below:
OFFLINE REGISTRATION
In order to register for the Cycle Cambodia 2010 event, you will need to
complete the registration and medical forms, which need to be faxed or
emailed back and pay the £300 registration fee. (This is non-refundable
and is not included in the required sponsorship amount of £3000.
You also need to supply two passport sized photographs. Please make cheques payable to International Childcare Trust.
You need to get a doctor’s signature if you are over the age of 60 or suffer from or have ever suffered from:
- Heart trouble and/or blood pressure problems
- Asthma, bronchitis and/or shortness of breath
- Diabetes
- Epilepsy and/or fainting attacks
- Migraine, headaches
- Severe head injuries
- Cancer
- Allergies
- Vertigo
- Fracture, tendon or ligament/cartilage damage
- Physical illness or back problems
- Psychiatric or mental illness
- Have you been hospitalised within the last two years
- Are you suffering from or a carrier of any infectious disease
- Are you registered as disabled
- Do you have any skin wounds or ulcers
- Do you have any problems with sight, hearing or other senses
- Do you have any other on-going or past medical problems
- Are you pregnant or trying to get pregnant
- Do you have a drug or alcohol dependency
Please download the form below:
Download Registration Form & Medical Questionnaire (PDF document, RegistrationFormCC10.pdf)
Pay registration fee online or you can contact ICT for our bank details:
Vincent Moran
Fundraising & Events Manager
International Childcare Trust,
Development House
56-64 Leonard Street
London EC2A 4LT
|
