Over 55's - Registration Form First Name * Last Name * Street Address * Street Address Line 2 City * Postal Code * Email Phone Number * Preferred Communication Method(s) Phone Email Postal Mail Do you currently cycle, or are you a returner? * Birth Date * Year19201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Year MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Any medical issues? (e.g. Diabetes, heart condition etc) * Emergency Contact (Name) * Emergency Contact (Number) * Mailing Groups Can we email you about other Life Cycle UK services that may interest you? We won't share your details with anyone else and you can opt-out at any time. For more information please read our Privacy Policy. Tick to opt-in: News Group rides Training, events and bike sales Volunteer / support us Support for businesses Submit
