Sign-up to the Rugby and Coventry Bikeathon 2019

Thank you for your interest in joining team Blooodwise at the Rugby and Coventry Bikeathon 2019, which takes place on 2 June 2019.

Please complete this form to register up to four entrants to the ride.

If you are registering a family of four (two adults and two children) please complete the application form for families.

By completing this form you agree to having your details passed on to the event organiser, Chris Elkin.

Read our terms and conditions.

My details
If you live in the UK please enter your postcode. If your address is outside the UK, or does not appear upon lookup please enter it manually.

As a supporter, you’re at the heart of everything we do. We’d love to keep you updated about our exciting work and the ways you can help, including campaigns and events that you might be interested in. We promise to respect your privacy and we will never sell or swap your details.

I am happy for Bloodwise to contact me by:

Participant 2
Participant 3
Participant 4