Toulouse to Barcelona Rider Details Form Personal DetailsTitle*Please SelectMrMrsMsDrMissForename*Surname*Address* Street Address Address Line 2 City ZIP / Postal Code Email Address* Enter Email Confirm Email Telephone Number (Daytime)*Telephone Number (Evening)*Mobile* Passport DetailsYour passport MUST be valid for six months after you return from the event. If you need to renew your passport or details are not currently available please advise Sarn Helen Events of passport details at a later date. Passport Number*Surname*Given Names*Please provide all of your forenames as shown on your passport. Nationality*Date of Birth* DD MM YYYY Place of Birth*Date of Issue* DD MM YYYY Date of Expiry* DD MM YYYY Next of KinPlease provide details of the person you wish to be contacted in the event of an accident or emergency during the event.Name*Relationship to you?*Please SelectSpouse / Civil PartnerSon / DaughterGrandchildFather / MotherBrother / SisterNephew / NieceGrandparentOtherAddress* Street Address Address Line 2 City ZIP / Postal Code Telephone Number (Daytime)*Telephone Number (Evening)*Mobile* Additional InformationPlease provide us with details of any additional information that you feel is relevant to your participation in the event.Do you suffer from a medical condition, allergy or take regular medication?*YesNoMedical Details*Please provide as much detail as possible relating to your medical details. AccomodationAccommodation during the event will be shared. If you wish you can give the name(s) of anyone with whom you specifically wish to share accomodation with on this event. Name(s) Your Cycling ExperienceProviding us with details of your cycling experience will help us ensure that the correct training plans are provided for you for the event.How long have you been cycling for?*Please SelectI've just startedLess than 12 monthsBetween 1 and 5 yearsOver 5 yearsHow many times a week do you ride on average and what distance?*Have you taken part in a similar challenge before?*YesNoPlease provide details of the Cycle Challenge(s) you have done previously*Your Preferred Route*Route 1 - Self-guided with Backup ServiceRoute 2 - Guided & SupportedRoute 3 - Guided & Using Public TransportThe outline route details are: Route 1 is Toulouse - Ax-les-Thermes - Berga - Manresa - Barcelona.Route 2 & 3 is Toulouse - Narbonne - Perpignan - Girona - Barcelona. DeclarationDeclaration*I confirm that the details above are accurate and that in the event of any incorrect information, that I am liable for any costs incurred.