CARE London to Paris Cycle Challenge

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Do you plan to return with the group on the Eurostar on the Sunday afternoon after the event? (*)
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Medical Information (* = required field)

Please read the Medical Disclaimer

CARE Challenge Medical Form Disclaimer

Participants will appreciate that a CARE Challenge Event is designed to involve strenuous exercise. You should be aware of this and should consider carefully (and, if appropriate, consult a medical practitioner) whether your general level of fitness, or any particular illness or ailment suffered by you, should preclude your participation. If you are affected by any condition that is likely to be exacerbated by strenuous exercise, for example heart disease, asthma, obstructive airways disease or similar ailment, you should refer to Ella Moffat at CARE International UK on 020 7091 6111 before completing this form.

If you are in any doubt as to your physical condition and your ability to participate in this event, you should seek advice from their medical practitioner prior to taking part.

Please note that the emergency contact details are private and confidential and will not be passed on to any third party organisations.

I have read and understood the advice given with regard to my participation in a CARE Challenge Event and confirm that I consider myself to be fit and healthy enough and physically able to participate in the Challenge. I am/will be over the age of 18 by the date of the event.

I am aware that I will be participating in an outdoor environment on uneven terrain where I may encounter weather conditions which can change rapidly and without warning.  I understand that access to emergency medical assistance may not be readily available in these environments.

I understand that in the event that, during the Challenge, if I am or become in the sole judgement of a CARE representative on site, incapable of participation or continued participation without risk or prejudice to myself, fellow expedition members or CARE International UK staff, CARE International UK reserves the right to declare my participation or continued participation terminated.

I acknowledge that I will be participating in the CARE Challenge Event entirely at my own risk and am expected to take the necessary precautions appropriate to the weather and other conditions.  I voluntarily assume all of the known and unknown risks that may result both from my participation in the Challenge itself and in transportation to or from the programme route and any rescue operations or procedures, including, without limitation, the risk of personal injury, death of damage to person or property and any loss, costs or expenses which may result from such events.  I also acknowledge that neither CARE International UK nor The Sponsor (if applicable) shall be liable for death or bodily injury sustained by any participants other than in respect of death or bodily injury caused by their negligence or the negligence of their employees or servants.

This agreement and any dispute or claim whatsoever relating to it or its formation shall be governed by and construed in accordance with English law and the parties irrevocably agree that the courts of England shall have exclusive jurisdiction.

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I have read and understood the Medical Disclaimer (*)
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Any prior medical conditions?

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Emergency Contacts

Only for use in the unlikely event of an emergency during your challenge, we will not store or use these details after the event.

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Terms and Conditions (* = required field)

These are the terms & conditions, for your reference, that you accepted when registering for your CARE Challenge.  If you have any questions relating to these, please don’t hesitate to get in touch with the Challenge Team.

Before registering for and participating in the "CARE London to Paris Cycle Challenge" taking place between 5-8 July 2012 (the "Event"), you must agree to the following terms and conditions of entry:

1.	CARE International UK ("CARE UK") is acting, in certain respects, as an agent for the tour operator that organises the Event  which is Tall Stories, a trading division of Sportsworld Group Limited (Company number 1663571) whose registered office is at TUI Travel House, Crawley Business Quarter, Fleming Way, Crawley, West Sussex, RH10 9QL (the "Tour Operator").  Cooperative for Assistance and Relief Everywhere, Inc.  (“CARE USA”) is supporting entrants from the United States who desire to participate in the Event.  Collectively, CARE UK and CARE USA hereunder are referred to as ("CARE"/"us"/"we").

2.	Participants in the Event ("Participants"/"You") will be required to complete a medical form as part of the registration process and to provide any other medical information as requested by CARE UK. You must also disclose to CARE UK in full any dependency on alcohol or illegal or prescription drugs at the time of registering for the Event. You may be required to provide a note from your doctor confirming that it is safe for you to participate in the Event. You agree that in any event it is your responsibility to make an assessment of your health and fitness for this Event. If you cannot make such an assessment or if you are in doubt, you must consult your doctor before participating in the Event. You agree that CARE is not responsible for assessing your medical conditions or fitness to participate in the Event, and does not assume such responsibility by permitting you to participate in the Event.

3.	CARE has the right to refuse participation of any participant in the Event for any reason.

4.	You shall participate in the Event at your own risk and acknowledge that CARE and its agents shall be released and not be liable for any injury, death, loss or damage to you or your personal property during or as a result of your participation in the Event  except where your death or personal injury results from CARE's own negligence.  CARE is not in any way liable for any injury, damage or loss suffered by a Participant or any third party as a result of activities conducted outside the scope of the Event except death or personal injury resulting from CARE's own negligence.

5.	You shall be responsible for any costs incurred in repairing any damage to property or accommodation caused by you or otherwise as a result of your conduct, and shall indemnify, defend and hold harmless CARE and its agents against any claims for loss or damage to property,or death or injury as a result of your acts or omissions.

6.	As a condition of participation, each participant must raise the minimum sponsorship specified for the Event, such amount being -  
a)	UK PARTICIPANT - £1,300 per person exclusively for CARE International UK.   This does not include your registration fee or Gift Aid.  Sponsorship monies raised for this challenge cannot be restricted and will go to wherever the CARE UK Senior Management Team have deemed the greatest need.
b)	US PARTICIPANT – $2,500  per person exclusively for CARE International UK.   Sponsorship monies raised for this challenge cannot be restricted and will go to wherever the CARE USA Senior Management Team have deemed the greatest need. 
For the purpose of these terms and conditions, US Participants are persons who live in the USA and UK Participants are persons who live in any other country.

7.	CARE UK or CARE USA, as appropriate, must receive from you – 
a)	UK PARTICIPANT - a non-refundable registration fee of £50 with your application which should be sent to CARE INTERNATIONAL UK, 9th Floor, 89 Albert Embankment, London, SE1 7TP within two weeks of registering.  You shall send a further amount ("Further Amount") of £600 to CARE UK at the foregoing address at least 10 weeks before the Event. This Further Amount counts towards your fundraising target and, subject to clause 8, is non-refundable. The remaining balance of your minimum fundraising target is to be settled within one (1) month following the Event. 
b)	US PARTICIPANT - a deposit of US$500 with your application (the "Deposit") which should be sent to CARE USA.  You shall send a Further Amount of US$1,500 to CARE USA at least 10 weeks before the Event. This Deposit and Further Amount count towards your fundraising targets and, subject to clause 8, are non-refundable. The remaining balance of your minimum fundraising target is to be settled within one (1) month following the Event.

8.	If you withdraw from the Event, cancel your booking or are unable to participate in the Event for any reason (including failure to comply with these terms and conditions, failure to provide the required information or failure to raise the required level of sponsorship), you must immediately notify CARE.  All sponsorship raised will be retained by CARE as a donation.

9.	CARE reserves the right to cancel, terminate or modify the Event or to remove you from participation in the Event for any reason, including if, in CARE's sole opinion, your behaviour is disruptive or affects other travellers or is threatening or abusive towards CARE or Tour Operator representatives, agents or suppliers in the UK or overseas.

10.	All participants must be at least 18 years of age before the date of the Event, sufficiently fit to undertake the Event, be competent cyclists and must comply with all laws and regulations applicable to their participation in the Event.

11.	By entering and providing the required entry information, you acknowledge that CARE may send you information about CARE and its work or contact you for future donations, by fax, telephone, mail, email or other means, unless you shall otherwise request in writing.  Information collected from all entrants is subject to CARE UK privacy policies located at  www.careinternational.org.uk/privacy-policy and information collected from CARE US entrants is also subject to CARE USA privacy policies located at  www.care.org.  If you do not wish to share your information, please do not enter this event.

12.	Except where prohibited by law: participation in the Event constitutes permission (a) to use your name, hometown, voice, likeness, photograph, and any statements regarding the Event for CARE editorial, public relations, and promotional purposes without compensation, including, but not limited to, use on CARE web sites and the Event Web Site; (b) for CARE to contact entrant for any purpose relating to the administration of the Event, entries or donations.

13.	Once your place is confirmed for the Event, CARE will be required to pay certain amounts to the Tour Operator to cover the costs of your train fare, accommodation, food, transfers, guides and back-up team.

14.	You must make it clear to all prospective sponsors that a certain amount of your sponsorship money goes towards payment for you to take part in the London to Paris Cycle Challenge.  The cost of the trip per person is £764 based on a group size of 30.

15.	You acknowledge that itineraries, schedules, accommodation and other details of the Event may be subject to change by CARE or the Tour Operator and CARE will not be liable for such changes.

16.	You must provide your own personal equipment, including bicycle, helmet, bell and lights and such equipment must be suitable for the Event.

17.	You are responsible for making your own food, accommodation and travel arrangements to the Event. You acknowledge that changes of name or departure details (such as date and time) may not be permitted by airlines or other transport providers and such changes may be treated as a cancellation of your booking and you may be charged accordingly.

18.	You must hold a valid passport for six months after the event and acknowledge it is your responsibility to obtain any visa or other travel documentation necessary for entry into the relevant country.  You agree that CARE is not liable for any loss or costs incurred as a result of your failure to comply with any passport, visa or other immigration requirements.

19.	You must have adequate travel insurance that covers you for the specific activities you will be undertaking, including emergency repatriation. You will be asked to provide proof of travel insurance 10 weeks before the Event start date. If you fail to provide proof of adequate travel insurance, CARE may refuse to allow you to participate in the Event and, if so, your Deposit will be retained by CARE as a donation.  CARE will refund the Further Amount less any non-refundable costs incurred by CARE and/or the Tour Operator in relation to your participation in the Event.

20.	If you withdraw from the Event in circumstances where recovery of cancellation charges incurred by CARE or the tour operator is indemnified under your travel insurance, you shall seek and co-operate in the recovery of these charges from the insurers and any sums recovered under the policy will be paid to CARE UK or CARE USA, as appropriate. If the insurance company does not recognise your claim, you will be responsible for covering any cancellation charges in accordance with clause 8 above.

21.	You shall comply with the scheduled itinerary for the Event and with all directions and instructions given by CARE, its agents or its representatives or the Tour Operator or its representatives at all times during the Event.

22.	As part of your participation in the Event, you may access certain online resources which include CARE's name, logo and other intellectual property rights by accepting the terms of use at www.care.org/logo.

23.	These terms and conditions are governed by the laws of England and subject to the exclusive jurisdiction of the courts of England and Wales.

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Please tick the box to confirm you accept the Terms & Conditions of entry and understand that the purpose of this event is to raise money for CARE International. A copy of the Terms & Conditions of entry will be sent to your email address for future reference. (*)
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CARE London to Paris Cycle Challenge

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