Ride+Stride Participant Registration

Your Name

Your Address

Your Email

Are you participating as:
---An individualA groupA family

Mode of Transport
---CyclingWalkingHorse RideCarOther

What 'Other' mode of transport or fundraising activity

Will you be using Virgin Money Giving or the Sponsorship Form to raise sponsorship
---Virgin Money GivingSponsorship formBoth

Name and city/town/village of the church you wish HIHCT to pay half of your sponsor money to. If you do not choose to nominate a church all the money raised will go to to HIHCT.