Guest Rider Form

Name *

Email *

Telephone No. *

Address *

Emergency Contact Name *

Emergency Contact Telephone No. *

Disclaimer *

I agree that I understand and will abide by the terms and conditions required by SRC and the CTC for the safe participation in this activity and to act responsibly and adhere to the rules of the road and countryside. Marshals, if they are used, are solely to indicate the direction and it is my responsibility to ensure that the manoeuvre is carried out safely. I hereby maintain that I am fit and healthy enough to participate in this activity and my bicycle is in a safe, legal and rideable condition. I also accept that Stafford Road Club cannot be held responsible for any personal injury, accident, loss, damage or public liability during the event.