Entry form

Please fill out this form to register your interest for the next Griffith Cycle Club event.

You are registering for Bertoldos Bakery Cup - R 5 on Sunday, 1 August 2021
List of confirmed entrants

Your name * Please provide your name Email address * Please provide your email address Cycling Australia license number

I would like to volunteer for

Commissaire (accreditation required)

Traffic control (accreditation required)

Lead car

Follow car

Signs

I acknowledge that I have no flu like symptoms, am not awaiting the results of a Covid-19 test and have not visited (or been in contact with someone who has visited) a current hotspot. Covid-19 hotspots in NSW. Covid-19 - You may not enter this event if you cannot verify all of the above.