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)*

09:30-10:30hrs Limitless Family Cycling10:45-11:45hrs Limitless Adult Cycling12:00-13:00hrs Family Cycling13:15-14:15hrs Family Cycling14:30-16:00hrs Open Cycling

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

IndividualFamily group

If you are a family group please enter all names:

Do you wish to borrow a bicycle? If so do you want a Standard one or an Adapted one? Note: supply cannot be guaranteed as stocks are limited*

StandardAdaptedDo not need to borrow one

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

YesNo

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

Collecting your sponsorship online using the Rotary Club’s “Good Hub” facility is preferred.

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