Acknowledgment of Risk, Responsibility and Insurance. I acknowledge that I will be participating in an organised tour or day with More Than 21 Bends which will involve strenuous physical activity. I confirm that I am sufficiently fit for and am not suffering from any health problems which will be exacerbated by such activity. I have been advised by More Than 21 Bends to seek advice from a qualified medical practitioner if I have any doubts or concerns about my health or fitness. I recognise that cycling on public roads, particularly in mountainous areas, is an activity with a danger of personal injury and even death. I confirm that I am aware of and accept such risk and will be responsible for my own actions and involvement in this activity. I also acknowledge that I have been advised by More Than 21 Bends to take out insurance against the costs of medical treatment, evacuation, loss of earnings and/or cost of care in the event that I suffer injury or illness during the tour and while travelling; against loss of or damage to my property (including my bicycle); against liability I might incur to third parties; and against costs I might incur in the event of cancellation or curtailment of the tour or my participation in it. I confirm that I will arrange adequate insurance against such risks. More Than 21 Bends accept no responsibility for any costs that may be incurred due to lack of or insufficient insurance cover. Some insurance companies require helmets to be worn when cover is provided. It is compulsory on all our rides to wear a helmet. All music devices, or hands-free mobile sets are banned on our rides, for safety and social reasons, sorry! I hereby agree that, except in respect of death or personal injury caused by the negligence of More Than 21 Bends, neither More Than 21 Bends nor its employees or agents will have any liability (whether in contract or in tort, including negligence) for any loss, damage, injury or death which I may suffer in connection with the daily rides or tours nor for any failure by me to take out adequate insurance. Please enter your name, the date and your email address to sign this agreement^*

Please enter the date you agreed to these terms and conditions^*

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Medical Conditions we may need to know about^*

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Medical Insurance details ( Policy number /Company etc)^*

Next of Kin Name^*

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