GYRO

Name*

Title First Last

Postcode*

Postcode

Address*

Street Address Address Line 2 City Country

My email is*

My phone is*

Date of Birth

This is optional, we only use this information to help understand our supporters and improve their experience

Which route are you wanting to take on?*

30 Miles (£20)
60 Miles (£27)
90 Miles (£35)

Are you planning to fundraise for GNAAS?*

You are not required to raise sponsorship for this event, however, if you would like to fundraise and would like a fundraising pack sent out please click the box below. Please note the rider's packs will be to collect on the day and won't be sent out in advance.

Yes
No

What is your sponsorship target?*

Team name

If you are taking part with a group or as a team, please enter your team name here.

Are you a former patient of the charity or know someone who is?*

Yes
No

Please tell us about your connection with GNAAS*

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Is admin user

Yes

How would you like to hear from us?

We'd love to keep you up-to-date with our life-saving missions and how you can help us rescue more people through fundraising, events and volunteering. Please let us know how you'd like to hear from us.

Email
SMS

We also communicate with supporters by post or telephone to tell you more about our critical care service and the exciting ways you can support us. You can read more about this in our Privacy Policy or you can click here to not receive communications this way.

Opt-Out of communications by

Post
Telephone

Declaration*

I understand that this is a strictly non-competitive event

Hidden

Campaign Link

Hidden

Amount

GYRO – Sign Up