We offer 3 challenging rides designed by John Perks former Falcon professional, British Cycling National Junior coach.Midland Monster 104 miles £25 Mezzo Monster 75 miles £25Mini Monster 44 miles £25Family Ride 10 miles £20 (per family of 4)

TThe routes are tough with good roads, light traffic and beautiful scenery. The longer routes venture into the Peak District National Park.The routes are fully signed and marshalled with motorcycle assistance and feed stations. There is ample car parking and post ride refreshments, all-inclusive in the entry fee.To guarantee your place pre-enter on the British Cycling web site or complete the entry form overleaf.Enquiries to event organizer: Sam IrelandEmail: samantha.ireland0@gmail.com / 07864 681199114 Main Steet, Barton under Needwood, Burton on Trent, DE13 8AB www.midlandmonster.com

Sign on 8am - 9amStart 9am - 10am

HQ Closes 5pmHQ

Rosliston Forestry CentreBurton Road

RoslisRoslistonSwadlincote

DerbyshireDE12 8JX

Sunday 13th May 2018

ENTER AND RAISE MONEY FOR THE COUNTYAIR AMBULANCE TRUST’S HELP APPEAL

Event name:

p Midland Monsterp Mezzo Monsterp Mini Monsterp Family Ride

Event date: 13/05/2018 Ride name/distance

p 104 Milesp 75 Milesp 44 Milesp 10 Miles

Title: Date of Birth:I enclose entry fee of (£):

First name: Surname:

Address:

Town: County:

Postcode: Telephone:

Mobile No: Email:

Emergency contact name:

Emergency contact no:

Club/Team name (if applicable):

Medical Conditions (if applicable):

“I agree to abide by the British Cycling Regulations for non-competitive cycling events, and understand and agree that I participate in this event entirely at my own risk, that I must rely on my own ability in dealing with all hazards, and that I must ride in a manner which is safe to my-self and others. I am aware that when riding on a public highway the function of marshals is only to indicate direction and that I must decide whether the movement is safe. I agree that no liability whatsoever shall attach to the promoter, promoting club/Organisation, event sponsor, British Cycling or any event official or member of British Cycling or member of the promoting club/organisation in respect of any injury, loss or damage suffered by me in or by reason of the event however caused. I will participate in cycling events in a loyal and sporting manner. I will submit to disciplinary measures taken against me and will take any appeals and litigation to the authorities provided for in the Regulations. Subject to that reservation, I shall submit to any dispute that may arise exclusively to the courts. I have read and agree to abide by the above declarations”.

Signed: Date:

ENTRIES WITHOUT CORRECT FEE OR DETAILS WILL NOT BE ACCEPTED

BRITISH CYCLING NON-COMPETITIVE EVENT ENTRYFORM (under British Cycling Guidelines)Complete the below and post to the address on the event summary page. All information is for the event organisers reference.

British Cycling Federation, a company limited by Guarantee. Registered in England 3943494 Version 21/01/10