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Parental consent form

(to be completed for participants under 18 participating in any ride or event organised by Hull CTC)

Please use CAPITALS when completing this form

I, …………………………………………… of (address) ………………………………………………
…………………………………………………… ………………………………………………………
being the parent / guardian of ……………………….………………………………… give my consent for
him / her to participate in the cycle event organised by Hull CTC on ……………………(event date).

(In the case of under 13s) He/she will be accompanied by ………………………….……………………
of (address)………………………………………………… ……………………………………………

Signature …………………………………………………………………… Date ………………………