Join the Irish Hospice Foundation for the

challenge of a lifetime by cycling across Spain

from San Sebastian to Barcelona with the

option to tackle the exhilarating Pyrenees!

SAN SEBASTIAN

to BARCELONA

The Irish Hospice Foundation

CycleChallenge20th–26th JULY 2014

A BIT ABOUTCYCLING SAFARISWe enlist the help of the fantastic teamat Cycling Safaris to plan our route andmanage all aspects of our cycle for theentire duration of the trip.

Cycling Safaris have been organising biketours in the west coast of Ireland since1989. Since then they have expanded theircycling holidays to cover the length andbreadth of Ireland as well as numerouslocations all over Europe. The Irish HospiceFoundation has been working with CyclingSafaris from the beginning of our annualcycling challenges back in 2009. This SanSebastian to Barcelona cycle will be our 9th

adventure with them and we are verypleased to have them on the team again.

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Cycle Challenge 2014Join the Irish Hospice Foundation (IHF)for the challenge of a lifetime and takeon our 2014 Atlantic to Med Challenge,from San Sebastian to Barcelona!

Travel the Iberian Peninsula by bike taking in all thatNorthern Spain has to offer. This cycle route is a mix ofdays cycling beside the foothills of the Pyreenes toriding across the plains!

Departing from Dublin on Sunday 20th July, we will fly toBiarritz and travel to our hotel in San Sebastian. Thefollowing morning we will begin the first of five dayscycling through beautiful Basque style towns andvillages, before spending our second night in Pamplona,famous for its charm and the running of the bulls festival!

From here, we leave the city following the river Elorz andtake in some very scenic views of mountains beforefollowing the edge of the Embalse de Yesa, a welcoming large man-made lake.

Leaving Murillo de Gallego, the stunning verticalmonolith rock formations of the Mallos de Riglos giveway to a gentler terrain as we cross the steppe plains ofthe central lowlands of Aragon. This is a region withmany unique heritage sites from the middle ages thatare evident in the small towns and villages we cycle

through. Once again Pyrenean Mountains provide awonderful backdrop as we enter Catalonia.

As our destination approaches, we enjoy further changesin the landscape as forested roads and the Catalan pre-coastal range falls away to reveal the sparklingMediterranean and the striking architecture of Barcelona.

You will be cycling a total of 556km (ex. climbs) or 606km(incl. climbs) over the five days, while raising vital fundsfor the Irish Hospice Foundation’s work to ensure thateveryone in need has access to hospice care.

There will be options along the way for those who arekeen and capable cyclists to tackle the Pyreenes andtake on the Vuelta climb and the Coll de Jou, beforearriving into our final destination – the beautifulBarcelona.

You can then look out onto the Mediterranean and soakup the atmosphere as you contemplate the challengeyou have just achieved and conquered!

SAN SEBASTIAN

to BARCELONA

San Sebastian to Barcelona Cycle 2014The challenge is to ride from one coast to the other, essentially from San Sebastian on the Bay ofBiscay to Barcelona on the Mediterranean. Although not flat, the basic route sticks to the foothillsof the Pyrenees and does not seek out any great climbs. The route in fact mixes days of beingbeside the mountains to riding across the plains. As always, we do cater for thrill seekersamongst us and there are options for the more experienced cyclists looking for a greaterchallenge to tackle some hillier terrain in the Pyrenees. Although, perhaps notas well known as the Tour de France climbs, the Vuelta still offers an excitingcycling experience and features some challenging climbs!

ITINERARY

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We set off from Dublin Airportfor the short flight to Biarritz. On arrival you will be collectedfrom the airport and transfered(1hr 25mins) to our hotel in SanSebastian by coach. You will bereunited with your bike at thehotel as all bikes will have been shipped from Dublin by CyclingSafaris. Known as Donostia in Basque, San Sebastian isprobably one of the most wonderful cities in Europe. Thefabulous Playa de la Concha Beach sweeps around in a curveseparated from the lush surrounding countryside by acosmopolitan old town. It is in the old town that the famouslocal Pintxo can be tried.

A challenging day ahead as weleave sea level and follow the rioUrumea into the surroundinghills passing the Parque Naturalde Aiako Harria where pine treesof the park offer passer-by’ssome cool shade. Those lookingfor some optional afternoon climbs can take on El Hachueta,from the Vuelta at 12km long and an average gradient of 7.4%. Our resting place that evening is Pamplona. It is known theworld over for its running of the bulls festival. But once themadness of San Fermins is over then Pamplona is a charmingcity with great food and friendly people. It is the first main cityon the Way of St James (Camino de Santiago) and has abeautiful medieval centre, historic citadel and many parks.

We leave the city following theriver Elorz. Along this road, wewill take in some beautifulmountainous scenery beforefollowing the edge of theEmbalse de Yesa, a large manmade lake. Our route then headsthrough the village of Murrilo offering great views of thespectacular conglomerate rock formations of the Mallos deRiglos. Our destination is Huesca, a charming medieval townwith a lovely cathedral.

DAY 1SUN July 20

Dublin to Biarritz

DAY 2MON July 21

San Sebastian to Pamplona - 110kms

DAY 3TUE July 22

Pamplona to Huesca - 113kms/163kms

DAY 4WED July 23

Huesca to Balaguer - 127km

DAY 5THU July 24

Balaguer to Cardona - 98kms

DAY 6FRI July 25

Cardona to Barcelona - 108km

Leaving Huesca we follow sometranquil backroads across theplains that link together anumber of small medievalvillages. Our Lunch stop isMonzon, notable for its castlebelonging to the KnightsTemplar. As we cycle on the arid like landscape starts togive way to the mountains of Lleida. Balaguer is ourdestination point for day 4, and has much to offer.There is a wonderful atmosphere here as Balagueroffers a unique heritage and boasts a Moorish Quarter,Jewish Quarter and medieval quarter as well as agothic cathedral.

Another climbing option is onoffer today for those wishing totackle the Coll de Jou. At 6km itis not the longest climb, but it is7.9% average. There are alsotwo climbs to get to the start, soan additional 1100metres and45km are added to the day making it a verychallenging but satisfying climb. The town of Cardonais a wonderful historic place boasting a spectacularcastle originally constructed in the 9th century. Thiscastle is also the stunning Parador Hotel and ouraccommodation for the night!

The last day sees us venture intothe Sant Llorenç del Munt il’Obac national park. Here thereis a wonderful backdrop ofmountain scenery and forestedroads. And as gradually themountains give way to foothills,we lose elevation and start to pick up views of our finaldestination as the city of Barcelona opens up before us!

iNFORMatiON WeeKeND

An Information Weekend will take place in May 2014, and is an

opportunity to meet the IHF team and Cycling Safaris as well as

other participants. We can answer any queries you may have,

give you advice on equipment and training and give you

additional information about the trip. We will also have a

modest cycle on this day. This is a really useful day to pick up

tips and advice on the route, training and your fundraising.

We strongly encourage you to come to the Information

Weekend as it provides an important and valuable opportunity

to discuss all matters of the cycle. This is a great chance to get

well acquainted with everyone involved in the cycle and an

opportunity to gauge your fitness levels!

All presentations from the day will be made available to

everyone afterwords, however this does not replace the value

of being there in person.

PRe tRiP BRieFiNG

A detailed pre trip briefing will be sent out

to participant’s approximately one

month before departure with all the

necessary details including travel

arrangements.

HOW DO I SIGN UP?The total participation fee is €2,950 for the San Sebastian to Barcelona Cycle challenge.

team Discount

OFFeR!

Sign up as part of a team of 4 or

more (this can include previous

participants) and receive a

discounted Participation Fee of

€2,650 per person. Sign up

before the 4thApril 2014 to avail

of the discounted rate.

The Total Participation Fee of €2,950 is split into two

elements:

n Tour Cost of €1,000

n Sponsorship of €1,950

The Tour Cost of €1,000 must be paid as follows:

n Registration Fee of €250 on sign-up.

n Balance of €750 due 14 days after receipt of

Registration Fee

Note: Tour Cost of €1,000 can only be guaranteed up to

4th April 2014.

The Sponsorship of €1,950 must be paid as follows:

n First payment of €975 due 23rd May 2014

n Second payment of €975 due 27th June 2014

DiscOuNteD Rates:

Participants can avail of a discount of Sponsorship (€1950

reduced by €300 to €1650) by availing of ‘Refer a Friend’ or

‘Team Discount’ in which case each of the Sponsorship

payments above are reduced to €825 each.

This Fee can only be guaranteed for participants that register and pay their Registration Fee byFriday 4th April 2014. This is because the costs of flights and accommodation increase the closerwe get to departure date.

Refer a Friend*

OFFeR!

If you invite a new cycling friend

to sign up for the 2014 Cycling

Challenge, both you and your

friend benefit from a reduced

Participation Fee of €2,650 per

person.

*This offer is only available toparticipants who introduce a friendwho has never participated in theKingspan IHF Cycling Challenge.

Please note: All team membersmust have signed as a team at thesame time and pay their registrationfee of €250 per person.

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We at the Irish Hospice Foundation (IHF) need your help to ensurethat everyone has access to hospice care when and where they needit. We believe that this is a right. However, the reality is quitedifferent. Sadly, access to hospice services in Ireland today largelydepends on where you live, and your illness. We are working tochange this and we can’t do it without your help – but together wecan do it.

This July (20th – 26th), cycle across Spain from ocean to sea (SanSebastian to Barcelona), all the while raising vital funds for the IHF’sNurses for Night Care service.

Quite often people die in a setting that is not their first choice.Currently 66% of us would choose to die at home if given a

choice, but the truth is that only 25% of us actually do so at

present.

We are trying to change this!

The IHF’s Nurses for Night Care is a free service that providesnight time nursing care in the home to people with diseasesother than cancer who are at the end of their lives. This serviceenables more people to fulfil their wish to die at home withdignity.

Nurses for Night Care works across Ireland, reaching every county.

The Nurses for Night Care service facilitates, where possible,people’s choice to die at home. Night time can be a vulnerable timefor people who are at the end of life and families, with fewer servicesavailable to them. But our service maintains the continuity of carethat this person has experienced during the day, supported by thepalliative home care team and surrounded by family.

These nurses stay in the home throughout the night, providingnursing care, practical support and reassurance to both the personwith the life limiting disease and their family. The service is a verysignificant support in providing respite for families, as they in turncare for their loved one at what can be a very difficult time.

The demand for this service is increasing yearly, and in order to fundthe service in 2014 we must raise €410,000! With your help we cancontinue to increase our fundraising and reach our target for this vitalprogramme.

By signing up for the San Sebastian to Barcelona cycle you can helpus make a difference.

Each day spent in the saddle will mean at least one night of comfortand reassurance for a those nearing the end of life and their family.The amount raised by each cyclist (after costs) will fund six nights ofnight time care.

Find out the difference you can make in one week…

For more information on the work

of the Irish Hospice Foundation

please visit our website

www.hospicefoundation.ie

or speak to a member of staff

on 01 6793188.

If you want to move quickly and guarantee a place,this Quick Facts page contains all of the essentialinfo that you will need to know before signing up.

n SECURING YOUR PLACETo secure your place you will need to:• Fill in and return the enclosed

registration form by 4th April 2014.• Pay your €250 non-refundable

registration fee. You can do this usingthe form enclosed.

• No travel arrangements will be madeuntil the full Tour Cost of €1,000 is paid.

Registrations taken after the 4th April 2014may incur extra costs. This will be madeclear to participants in advance ofregistration.

n SPONSORSHIP TARGETS &DEADLINES

Total Participation Fee: €2,950

n Deadline 1: Pay registration fee – €250.

n Deadline 2: Pay balance of tour cost –€750, 14 days after receipt of theapplication form and registration fee tosecure your place on the trip.

N.B. No travel arrangements will be madefor you until the balance of the tour cost ispaid.

n Deadline 3: 23th May 2014. You mustraise and pay €975 by this date.

n Deadline 4: 27th June 2014. By thisdate you must have raised and paid afurther €975, bringing your totalParticipation Fee €2,950,otherwise youjeopardise your place on the trip.

n FUNDRAISING SUPPORTThe team of professional fundraisers at theIHF will provide you with fundraisingsupport including: • Access to fundraising materials and IHF

merchandise.• An online sponsorship account - friends,

family and colleagues can sponsor youonline through your own personalisedweb page on www.mycharity.ie orwww.idonate.ie

• A direct phone number and emailaddress for an IHF fundraiser.

n TRAINING SUPPORTThis cycle crosses the naturally undulatingterrain of Spain. Although not a flat routewe will stick mostly to the foothills of thePyrenees and not seek out any greatclimbs. However for the more

experienced cyclists and those looking for

a greater challenge you can tackle some

hillier terrain in the Pyrenees. It has to be

recognised that strong legs and a good

cardiovascular fitness are essential - you

will be in the saddle for approximately 6

hours a day. We can provide you with the

following support to help you train:

• Professionally prepared training guide

• An information weekend that includes a

question and answer session with event

staff.

• A list of regular open cycling events to

help with your training.

Self motivation is essential!

n SUPPORT TEAMA support team of several staff and

vehicles will organise the ride and be

responsible for:

• Transporting your bike to and from

Spain.

• Transferring your luggage from hotel to

hotel.

• Mechanical support.

• Medical support.

• Signing the route.

• Organising water/snack and lunch stops.

n FOOD & ACCOMMODATION• Accommodation is provided for every

night of the trip. It is shared twin rooms

in 2H, 3H or 4H hotels. Please indicate

anyone that you would like to share a

room with on your registration form.

Single rooms are available for an

additional fee. If you choose to stay on

for the weekend in Spain, you will be

responsible for organising your own

accommodation and flights.

• Water/snack stops. At least 2 stops (one

in the morning and one in the afternoon)

will be organised on each day of cycling.

Snack stops will consist of energy bars,

fruit, and other snacks suitable for

cyclists. However if you have particular

snacks you eat whilst cycling we

recommend you bring them along for

yourself.

• Lunch. Lunch stops are organised to take

place in Cafes/pubs, consisting of

sandwiches/baguettes. As we are

stopping in small villages for only brief

lunch stops it is not practical to have a

hot meal at the lunch stops. Lunch is not

provided on day 7.

• Dinner. On days 1, 2, 3, 4, 5, 6 dinner will

be provided to the group either in a

local restaurant or in the hotels. On day

7 participants are responsible for buying

their own dinner.

• Special dietary requirements. We are only

able to accommodate food allergies,

specific diets i.e. vegetarian, vegan,

and/or religious or medical dietary

requirements, personal preferences

cannot be accommodated. Please

remember to fill them in on the medical

questionnaire that you receive once you

have registered. If any individual has

particular snack preferences they should

consider bringing a quantity with them

on the trip.

n TRANSPORT• Flight to Biarritz on 20th July and return

flight from Barcelona 26th July (included

in cost). For those staying on for extra

nights you will receive a credit amount

as determined by the Irish Hospice

Foundation for the cost of the flight.

You must make your own return flight

arrangements.

n WEATHERCycling at this time of year is usually

pleasant and sunny, but you should come

prepared for all weathers. Ensure you have

packed a waterproof cycling top and

sunscreen.

n BIKE INFORMATIONYou will need to bring your own bike to

Cycling Safaris in Dublin approximately 1

week in advance of the trip for it to be

transported to Spain. Please ensure that it

has been recently serviced. We will

arrange for your bike to be transported

safely back to Ireland where it will be

available for collection from Cycling

Safrais in Dublin.

n WHAT IS NOT INCLUDED?• Travel insurance – mandatory – you

must provide us with evidence of your

cover. Note: You will not be allowedparticipate in the trip without Travelinsurance.

• Bike insurance

• Personal spending money

• Lunch and dinner on day 7

QUICKFACTS

6

1. Anyone taking part in this event are acting as volunteersfor the Irish Hospice Foundation and are responsible forand obtaining all necessary permits and permissions inrespect of public collections.

GENERAL

2. The Irish Hospice Foundation has appointed Irish CyclingSafaris Ltd (The Company) to organise transport,accommodation, a medic and guides for the IrishHospice Foundation Cycle Challenge (“the Event”) andaccepts no liability for any loss or damages howsoeverarising or for cancellation of the Event for any reason.

3. The Irish Hospice Foundation has no control over theorganisation and running of the Event and allparticipants take part at their own risk.

4. The Irish Hospice Foundation has no control over whathappens on the Event from the time it departs fromDublin to the time of its return to Dublin. The IrishHospice Foundation is, therefore, under no liability incontract, negligence, or otherwise for any matteroccurring during those dates or for any loss or damagesustained by any participant during those dates. Anycomplaint must be notified directly to the Irish CyclingSafaris Ltd within 14 days of the end of the Event, inaccordance with Irish Cycling Safaris Ltd BookingConditions below.

REGISTRATION FEES AND DONATIONS

5. To secure your place you will need to: Fill in and returnthe enclosed registration form by 4th April 2014 alongwith your €250 non-refundable registration fee. Youwill need to pay the balance of Tour Cost, €750, 14days after receipt of the application form andregistration fee to secure your place on the trip. N.B.No travel arrangements will be made for you untilthe balance of the tour cost is paid. Before 23rdMay 2014 you must have raised and paid €975 of yourSponsorship balance. By 27th June 2014 you musthave raised and paid a further €975 bringing your totalParticipation Fee to €2,950, otherwise you jeopardiseyour place on the trip.

6. If you are unable to obtain the minimum target amountof sponsorship (€2,950) you are liable to forfeit yourplace on the Event and your non-refundable registrationfee of €250; donations will only be refunded directly tothe donor, upon written request by the donor.

7. You must make it clear to all your prospective sponsorsthat €1,000 of the €2,950 comprises the cost ofregistration and participation in the Event.

8. Should the Irish Hospice Foundation cancel the Event,the registration fee of €250 will be refundable to you;donations will only be refunded directly to the donor,upon written request by the donor.

9. Should you not be able to take up your place on theEvent, donations and registration fees will not berefundable to you; donations will only be refundeddirectly to the donor, upon written request by the donor.

10. All funds raised in the name of The Irish HospiceFoundation in connection with the Event must be paid assoon as practicable to the Irish Hospice Foundation [inaccordance with the method of payment provisions inthe attached Application Form].

SAFETY RULES

11. Safety approved cycling helmets are compulsory.12. You may not deviate from the official route.13. You are to obey the local traffic regulations, traffic

officers and authorised marshals at all times.14. You may not use your mobile phone or a personal music

system while cycling.

IRISH CYCLING SAFARIS LTD BOOKINGCONDITIONS

15. Irish Cycling Safaris LTD (The Company) acceptsbookings subject to the following conditions:

n Passports, VisasClients are responsible for arranging, and must be inpossession of a valid passport and any visa requiredfor the whole of their journey. Information aboutthese matters or related items (climate, clothing,baggage, personal gear etc) is given in good faith butwithout responsibility on the Company. Clients with aEuropean passport will not need a visa and it is theresponsibility of any other passport holders to checkwith their embassy.n Insurance &Cancellation InsuranceTravel insurance is mandatory for all clients whilst ona tour organised by the Company. Clients togetherwith their personal property including baggage are atall times solely at their own risk. Clients are whollyresponsible for arranging their own insurance. Clientsnot taking out the Company’s specially arrangedTravel/Cancellation insurance are responsible forensuring that they are in possession of private TravelInsurance with protection for the full duration of thetour in respect of at least medical expenses, injury,death, repatriation, cancellation and curtailment,with adequate cover. Clients making their ownarrangements should ensure that there are noexclusion clauses limiting protection for the type ofactivities included in their tour. Clients should satisfythemselves that any travel insurance arrangedthrough the Company is what they require andshould arrange supplementary insurance if need be.Clients will be deemed to have read the insurancecover.n ItineraryWhile we endeavour to follow our itinerary there maybe exceptional circumstances when this is notpossible.We reserve the right to cancel or modify theitinerary as necessary. Due to the nature of the tripsarrangements have to be planned well in advance, sochanges may have to be made and the Companyreserves the right to do this. Should a material changebe necessary the Company will inform you as soon asreasonably possible. A material change includes, forexample, a significant change of destination or routetime by more than 12 hours.n Medical FormPrior to the event you will be asked to complete amedical questionnaire. If you are over 60 years of ageor if you have any medical condition that could beadversely affected by exercise, particularly a heartcondition or asthma, you must provide the Companywith a medical certificate from your doctor. Bysigning this form you are confirming that, to the bestof your knowledge, your general state of health isgood and that you take full responsibility for yourhealth and personal well being. All medical forms willbe independently reviewed by a doctor prior todeparture.n Minimum AgeParticipants must be over the age of 18 on the day ofdeparture. The Company reserves the right to refuseparticipation to anyone at any time without having todisclose the reason.n Challenge ParticipationWe accept your booking on the understanding thatyou realise the hazards involved in this type of tour,including injury or death, disease, loss or damage toproperty, and that you come on the tour at your ownrisk.We accept no liability for any injury resulting

from the hazards of cycling or any other activityincluded in the itinerary, or for any other mishaps toyourself or your property, and in particular as aconsequence of strikes, wars, riots, sickness or othersuch happenings. Any independent travelarrangements that you make are also at your ownrisk. While on the cycle, illegal behaviour or conductconsidered unsuitable will not be tolerated and couldresult in the participant being asked to leave the cyclewith no refund. The decision to participate in thecycle or parts therein lies with each individual. n EquipmentClients taking their own equipment on tour areresponsible for any charges for transportation leviedby the transport provider including excess baggage.You must wear a helmet on this trip. Clients areresponsible for ensuring that their bike is in a suitablecondition for participation in a cycle of this nature.The company will endeavour to accommodateclients, but cannot guarantee that correct tools andspares will be available. Clients will be expected topay for any spares they require during the trip.n If you have a complaintShould you have a complaint about any of the tourarrangements, you must tell both the relevantsupplier and the Company’s representative whilst onthe trip or within 14 days of the end of the Event. It isonly if the Company and the relevant supplier knowabout problems that there will be the opportunity toput things right.n DelaysThe timings of road, ferry or flight departures areestimates only. We cannot accept liability for anydelay in your travel arrangements from or to Irelandwhether the cancellation or delay is caused byadverse weather conditions, rescheduling by atransport provider, port authority, mechanicalbreakdown or industrial action. Where long delaysresult in lost challenge time, no refunds are given byhotels or suppliers. Similarly, transport providers donot offer compensation for delays. It is in recognitionof the above that the Company’s travel insurancepolicy offers some monetary compensation fordelays over 12 hours to cover lost time or delayedreturn.This Event is conceived and operated by IrishCycling Safaris Ltd.[Ground arrangements are fully insured throughIrishCycling Safaris Ltd.]Irish Cycling Safaris Ltd, Belfield Bike Shop,UCDBelfield, D-4

WAIVER

16. Participants hereby acknowledge that they take partin the Event and all functions and events relatedthereto at their own risk. Participants hereby agreefor themselves, their executors, administrators,heirs, next-of-kin, successors and assigns to waiverelease and discharge and to neither have norinstitute any claims whatsoever against The IrishHospice Foundation or Irish Cycling Safaris Limited.This waiver covers death, disability, personal injury,damage to and loss of property of a participant andis effective whether or not such death, injury,damage or loss may have been caused directly orindirectly or wholly or partly by any act or omissionincluding negligence, of The Irish HospiceFoundation or Irish Cycling Safaris Limited or theirrespective servants, agents and contractors and willbind the heirs, executors and/or trustees of theestate of a participant.

The Kingspan IHF Cycle Challenge San Sebastian to Barcelona rules and regulations

TERMS AND CONDITIONS

7

The HI F

FORMregistration

SUN 20th to SAT 26th July 2014

PERSONAL DETAILS

Title ________________________________________________

Name(s) ________________________________________________

Surname ________________________________________________

Address ________________________________________________

________________________________________________

________________________________________________

Date of Birth (must be over 18) __________________________________

Sex (M/F) ________________________________________________

Phone (day) ________________________________________________

Phone (mob) ________________________________________________

Fax ________________________________________________

Email address ________________________________________________

NEXT OF KIN

Title ________________________________________________

Name(s) ________________________________________________

Surname ________________________________________________

Address ________________________________________________

________________________________________________

________________________________________________

Relationship ________________________________________________

Phone (day) ________________________________________________

Phone (mob) ________________________________________________

PASSPORT DETAILS

NB: Passport must be valid for 6 months after date of travel

Name (as on passport) _________________________________________

Passport Number _________________________________________

Expiry Date _________________________________________

Place of Issue _________________________________________

Date of Issue _________________________________________

Nationality _________________________________________

Country of Residence _________________________________________

Are you a smoker? Yes No

IHF Official Cycle Challenge 2014 Cycling Jersey. Please see size chart and tick size req.

Cycle Jersey Size S M L XL XXL 3XL 4XL

Will you be returning with the group on Saturday 26th July?Yes No

If you are not returning with the group you must inform IHF beforethe 4th April 2014 otherwise it will be assumed that you will NOT bereturning with the group and no return flight will be booked or anadditional cost may incur after this date. If travelling separate to thegroup you are responsible for booking your own accommodation for theextra nights and your return flight home. We will be happy to provideyou with the name and details of the hotel in Spain.

I have read and agree to abide by the Rules and Regulations in theaccompanying event brochure which I understand may change from timeto time and be posted on the web site www.hospicefoundation.ie. Inparticular, I have read and agree to the terms of the Waiver at clause 16.

Signed: ______________________________________ Date: _____________

PAYMENT DETAILS

I enclose a cheque for the amount of €250 made payable to the IrishHospice Foundation Please charge €250 to my (Tick as appropriate) VISA MASTERCARD LASER

Credit Card Number

________________________________________________________________

Exp Date CVV No

________________________________________________________________

Name on Card

________________________________________________________________

Address Of Cardholder

________________________________________________________________

________________________________________________________________

Participation in the cycle is at the sole discretion of Irish Hospice FoundationPlease return your completed application form plus deposit to:Amy Vaughan, Irish Hospice Foundation, 32 Nassau St, Dublin 2, IrelandAmy is contactable at 01 679 3188 or amy.vaughan@hospicefoundation.ie

www.hospicefoundation.ie

JERSEY SIZE CHART S M L XL XXL 3XL 4XL

HEIGHT cm 172 – 176 175 – 179 178 -182 181 – 185 184 – 188 187 -191 190 – 193CHEST cm 92 -96 96 – 100 100 -104 104 -108 108 -112 112 – 116 116 -120

Do you have any special dietary requirements? Yes NoIf yes, please give details. Please note we can only cater for allergies not preferences

________________________________________________________________

________________________________________________________________

All information on The Irish Hospice Foundation CycleChallenge 2014 is correct at time of going to press.please tick the following box

During the fundraising time before the cycle your fellow cyclists may wish to

contact you. If you agree to have your email shared with the other cyclists

ONLY

PLEASE NOTE: All accommodation will be sharedDo you have a preference for who you wish to share with?

Yes No Please specify name__________________________________

If you do not wish to share there will be an additional single supplement charge,

are you happy to pay this? Yes No

CYCLECHALLENGE

SAN SEBASTIAN

to BARCELONA