ENTRY FORM

Your Name

First NameLast Name

If you are under 18, please enter your date of birth

Date

Your Email Address

example@example.com

Best Phone Number to contact you

Please enter a valid phone number.Format: 00000-000000.

Your Address

Line 1

Line 2

Town

Post Code

Which Session do you wish to enter? (If more than one, please submit a separate entry form for each one)

Are you entering as an individual or a family/group?

If you are a family group please enter all names:

Do you want to borrow a Bike? If so, indicate Standard or Adapted, and your request will be forwarded to Moredon Sports Hub. (Note: supply is not guaranteed as the stock of bikes is limited).

The event may be photographed or filmed for promotional purposes. Do you consent to appearing in the media?

All participants are asked to collect at least £25 sponsorship on themselves and the Rotary Club will donate all the proceeds from Cyclothon 2026 to Limitless Swindon.

Collecting your sponsorship online using the Rotary Club's "Good Hub" facility is the best and easiest way to do it. Click here to go to the Cyclothon page on "Good Hub" to set up your own online fundraising page.

Should you collect any sponsorship offline, it must be paid into the Rotary Club’s bank account by 23rd August 2026. The bank account details are published in the Terms and Conditions and on the Cyclothon page on the Rotary Club's website.

I have read and accept the Terms and Conditions. (For family/group entries you are hereby confirming that every member accepts the Terms and Conditions)
Tick below to confirm