Glen Moray Sportive & Bike Ride 2015

Glen Moray Sportive & Bike Ride 2015
The Glen Moray Sportive & Bike Ride takes place on Sunday
21st June 2015. This year features 3 options (see below) with all
monies raised going towards the North East Sensory Services
(NESS) Charity.
10 Miles (Family Cycle)
Start 12.30 at
Glen Moray Distillery
Route takes in some of
the minor roads around
Miltonduff.
Cost £5 individual and
£10 per team (up to 4)
25 Miles
Start 12.30 at
Glen Moray Distillery
Route travels via Burgie,
Califer Viewpoint,
Rafford and Pluscarden
Cost £5 individual
75 Miles
Start 9.00 at
Glen Moray Distillery
Route travels via Dallas,
Knockando, Grantown,
Lochindorb, Rafford &
Pluscarden.
Cost £20 per individual
For the 2015 event, the organisers have decided to time
participants in the 25 & 75 mile route options following requests
from some cyclists that have previously participated in this event.
Registration Form
You can either register online at www.q-buster.com or by filling in
and returning this form to:
Neil Skene,
North East Sensory Services
Elizabeth House,
10 Victoria Crescent,
Elgin,
IV30 1RQ
All forms must be completed/signed by a parent/guardian for anyone under 16 yrs.
For the Family Friendly 10 mile route the cost is £5 as an
individual or for only £5 extra to enter as a team, with up to 4
team members (£10 per team).
For the 25 mile event the cost is £5 per individual.
For the 75 mile event the cost is £20 per individual.
On course support will be withdrawn after 8hrs for the 75 mile
route option. Please also ensure you wear/bring suitable clothing
for all weather conditions.
Cyclist 1 Name: ....................................... Age ........... Event ............
Cyclist 2 Name: ....................................... Age ........... Event ............
Cyclist 3 Name: ....................................... Age ........... Event ............
Cyclist 4 Name: ....................................... Age ........... Event ............
Main Contact Name: .........................................................................
Main Contact Address: .....................................................................
................................................................... Postcode: .......................
Telephone No: .......................................... E-mail: ............................
Medical information/Special requirements:-
The Moray Council would like permission to take photographs of and/or/film/video this event.
These images may be published in our printed publications or website. Please tick this box if
you do not wish to be included in any publicity photographs or footage.
Data Protection Act - The Moray Council Sports Development section will use the information
about you on this form in relation to the above activity you have registered for. Tick here if you
object to your details being held for future updates.
The Moray Council on behalf of itself, employees and agents hereby disclaims all liability
except where negligence can be proven in respect of personal injury or loss suffered by
participants attending these activities. In the event of an emergency, I give permission to sign
on my behalf for any medical treatment required.
Signed: .................................................................. Date: ......................
Volunteers Required
The Glen Moray Sportive & Bike Ride is also looking for members
of the community to support the organisation of the event on
the day. If you are interested in volunteering please contact
the Moray Council Sports Department on 01343 563395 or
educationandsocialcare@moray.gov.uk
D-00725