NZ Ride - Rider Regsitration

Expressions of Interest
New Zealand Ride - February 2021
For Saftey and Logistical purposes - any person wanting to participate in any part of the NZ route with the team (excluding the pre arranged Community Rides), MUST first complete the below information AND have approval from our NZ Ride Director and/or our Safety Director.
Full Name *

First Name Last Name
E-mail *
Mobile Number *
Emergency Contact Name: *

First Name Last Name
Emergency Contact Mobile Number *
Tick the Leg you wish to participate in: *

Day 1 – Thu 11 Feb - Bluff to Milton - 153km Day 2 – Fri 12 Feb - Milton to Dunedin - 64km Day 3 – Sat 13 Feb - Dunedin to Timaru - 166km Day 4 – Sun 14 Feb - Timaru to Christchurch - 166km Day 5 – Mon 15 Feb - Christchurch to Kaikoura - 181km Day 6 – Tue 16 Feb - Kaikoura to Picton -164km Day 7 – Wed 17 Feb - Wellington to Porirua - 33km Day 8 – Thu 18 Feb - Porirua to Feilding - 150km Day 9 – Fri 19 Feb - Feilding to Flaxmere - 168km Day 10 – Sat 20 Feb - Flaxmere to Taupo - 154km Day 11 – Sun 21 Feb - Taupo to Cambridge - 135km Day 12 – Mon 22 Feb - Cambridge to Mangere - 145km Day 13 – Tue 23 Feb - Mangere to West Akld - 65km Day 14 – Wed 24 Feb - West Akld to Whangarei - 160km Day 15 – Thu 25 Feb - Whangarei to Kaitaia - 155km Day 16 – Fri 26 Feb - Kaitaia to Cape Reinga - 125km
The purpose of the ride is to raise cancer awareness and one's health and wellbeing.

We will achieve this by cycling the length of the country AND engaging with community through meetings/fono/hui, school workshops, radio, TV and Social Media.

This means that we have set timeframes to meet on route daily to ensure we arrive safely and 'on time' for the hui/fono at the end of each day.

As per the safety plan, we will be riding together on route as a team.

There will be a maximum allowable number for each leg of the ride. Riding slots will be on a first come first served basis.

Therefore, the following recommendations serve as a guideline for joining the team:
Please confirm by ticking: *

I have a bike fit for purpose. Own supply of tubes for punctures I have a NZ safety approved Helmet NZ I have experience with group riding I would be able to ride consistently at an average of 26km per hour for the duration I have my own arrangements to meet me at the conclusion of the ride If for any reason, i'm unable to complete the cycle leg designated, I have my own support to pick me up

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

USO Bike Ride Waiver & Release Statement: *

USO BIKE RIDE WAIVER & RELEASE STATEMENT I agree to abide to the Safety terms and conditions of the USO Bike Ride as outlined here. I intend to take part in the USO Bike Ride entirely at my own risk. I declare that: 1. I acknowledge the risk’s involved with cycling and fully realize the dangers of participating in any ride such as this and fully assume the risks associated with such participation and my wellbeing during the ride. 2. I understand and agree that situations may arise during the ride, which may be beyond the immediate control of organizers, and I must continually participate in a manner that does not endanger either myself or other’s. 3. Neither the organizers, the sponsors nor other parties associated with the event shall have any responsibility, financial or otherwise, for any risk incident that might arise, whether or not by negligence, from any direct or indirect loss, injury or death that might be sustained by me or any other party directly or indirectly associated with me, from my intended or actual participation in the event or its related activities. 4. I authorize my name, voice, picture and information on this form to be used without payment to me in any broadcast, telecast, promotion, advertising, or any other way pursuant to the Privacy Act 1993. 5. I agree to comply with the rules, regulations and event instructions of the USO BIKE RIDE NZ Safety Team 6. I consent to receiving medical treatment which may be advisable in the event of illness or injuries suffered during the ride.
Please Advise if you are affiliated to any of the following groups:

Cycling Otago Tri Poneke Manawatu Cycling IronMaori
Thank you - USO Support Crew will be able to provide hydration/nutrition on the leg, however a koha for this would be greatly appreciated:

Keep the wheels spinning!!

Any questions, please contact Meriama Taufale, NZ Ride Director 0274423242
Should be Empty:

Expressions of Interest

New Zealand Ride - February 2021