Team Challenge

TEAM CHALLENGE TEAM NAME:

TEAM CAPTAIN:

EMAIL CONTACT:

MOBILE PHONE:

Hanoi Emergency Contact Person:

Mobile Phone:

Please ensure the person you have nominated as an emergency contact will be contactable throughout the day on this number

SPONSORSHIP:

□ YES □ NO We agree to raise a minimum sponsorship fee of US$150 per rider, to be paid to KOTO prior to the ride and any additional sponsorship money raised to be paid no later than 4th December 2009.

BIKES:

□ YES □ NO

We understand that as a team we will provide our own bikes.

□ YES □ NO

We will be looking to donate our bikes to a local charity following the ride. KOTO can arrange a bicycle for riders who do not have their own. Please note that we have access to a limited number of bikes, therefore if you are able to source your own that would be greatly appreciated.

□YES □NO

We will require KOTO to arrange ___ bicycle/s for our team

If yes, please list heights of team members requiring bicycles ___cm

___cm ___cm ___cm

RETURN TO HANOI (please indicate how your team members will return to Hanoi) a) ___ team members wish to return to Hanoi on Saturday on the BUS provided by KOTO and have their bikes transported back to Hanoi and left at the training centre (101 Xuan Dieu St.) under supervision of KOTO staff. I agree our team members will not to hold KOTO responsible for any damage and loss of their bicycles and agree that they will collect their bikes between 12noon and 4.00pm on Sunday 22nd November. b) ___ team members will organise their own transport back to Hanoi Please clearly indicate these team members on the Team Sheet. c) ___ team members want to ride back to Hanoi and understand that this will be without any support vehicles or personnel. Please clearly indicate these team members on the Team Sheet.

KOTO Bike Ride 2009 registration form

HEALTH / FITNESS I declare that all team members are in good health and that they accept responsibility for their own health and fitness during the ride. I also declare that every team member has appropriate travel / health insurance that covers them for cycling / adventure sports. I understand that our team’s participation in the KOTO Ba Vi Bike Ride is voluntary and, whilst KOTO and the ride organisers take all reasonable care, I understand and agree that no team member will not hold KOTO or the ride organisers liable for any personal injury or damage to property.

Team Captain SIGNATURE ________________________________________ DATE __________________________ Please print name_____________________________________ Please sign, scan and return registration form by email to [email protected] or fax to: 84 -4 3718 4580 no later than 9th November, 2009.

KOTO Bike Ride 2009 registration form

TEAM NAME: TEAM MEMBERS: All cyclists must bring a mobile phone in case of emergency/ getting lost on the route NAMES: 1 2 3 4 5 6 7 8 9 10 11 12 13 14

KOTO Bike Ride 2009 registration form

MOBILE PHONE NUMBER:

Age

Male/ Female

Take KOTO Transport to Hanoi

Provide OWN transport to Hanoi

Will RIDE back to Hanoi