Hilson Moran Future 40 - Ride with the Pros Question Title * 1. What is your name? Question Title * 2. What distance would you like to ride? 58 miles / 93 km 38 miles / 61km Question Title * 3. Although we won’t be pushing hard, it’s nice to group riders of a similar ability together. Which do you think best suits your average speed? Less than 14mph (22.5kph) Greater than 14mph (22.5kph) Greater than 15.5mph (25kph) Question Title * 4. For emergency purposes please provide a name and emergency contact number Name of Contact Phone Number of Contact Question Title * 5. Do you have any medical conditions? Question Title * 6. Do you have any dietary restrictions? Question Title * 7. Please provide a contact number that you will likely have available on the day of the ride i.e. the phone you will have with you. Question Title * 8. Finally could you please confirm your work contact details Name: Company: Position: Work Contact Number: Done