Townsville to Cairns Bike Ride : Register

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Joining Team KOOKABURRAS Average Speed 25-30km/h

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Personal Details

First Name *

Last Name *

Email Address *

Password*

Mobile *

Date of birth *

Dietary Requirements *

Postal Address *

(enter manually)

Address Line 1 *

Address Line 2

Town/Suburb *

Postcode *

State *

Country *

Emergency Contact Details

Please provide us with an emergency contact

First Name *

Last Name *

Contact Number *

Relationship to you

Medical Conditions

Do you have any pre-existing medical conditions which might affect your ability to take part, or be relevant if treatment is needed? *

Rider Information

Are you new to cycling? *

Rider Jersey Size *

Event Tee *

Please click here to view Jersey Size Chart.

Short Sleeve Jerseys: will be the same as last year’s jerseys.
Long Sleeve Jerseys: Last year's long sleeve jerseys were smaller than the short sleeve version, but this has now been rectified so by trying on the short sleeve jersey you can confidently now order the long sleeve jersey knowing it will fit the same.

Are you open to being profiled and speaking to the media to help us promote the ride? *

Fundraising consent if Under 16? *

What is your motivation for choosing to ride?

I have read the Terms & Conditions and I have read the Privacy Notice before providing my personal details. I understand that if I am under 18 years old at the time of the ride commencing, I will require parent/guardian permission as per the Terms & Conditions*

Privacy Notice: Children’s Cancer Institute understands the importance of protecting your privacy and complies with the Australian Privacy Principles and the Privacy Act 1988. We collect your personal information to register you as a participant in the Townsville to Cairns Bike Ride (“Event”) and for the purpose of issuing you with a valid tax invoice. Additionally, we share your personal information with the Townsville to Cairns Bike Ride Committee, the organiser of the Event, to facilitate your participation in the Event. We may also use your personal information for fundraising and marketing purposes, such as sending you details about our exciting new research into children’s cancer, other activities or promotions by Children’s Cancer Institute. The collection, use, disclosure, and destruction of this information will be handled in accordance with any applicable Public Health Order, Australian Privacy Principles and the Privacy Act 1988. If you do not consent to your personal information being disclosed by Children’s Cancer Institute, you can opt out by unsubscribing or emailing us at supportercare@ccia.org.au

You can find more information about how we handle your personal information by visiting https://www.tcbr.org.au/privacy-statement

Joining Team KOOKABURRAS Average Speed 25-30km/h

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Personal Details

Postal Address *

Emergency Contact Details

Medical Conditions

Rider Information