The IHF Porto to Lisbon Cycle Challenge 2017 Brochure

tion

The Irish Hospice Founda

CYCLE

E G N E L L A CH Lisbon Porto to

st ly 2017 Sun 25th June to Sat 1 Ju

porto

LISBON

Join us for the challenge of a lifetime by cycling through Portugal’s stunning countryside and picturesque coastline.

Photographs taken on 2016

IHF Cycle Challenge

CYCLE

2017

E G N E L L CHA Enlist the help of two wheels and pedal your way through beautiful Portugal.

The cycle route starts in Porto in the northwest of Portugal, moves south through the medieval town of Coimbra and finishes in the coastal capital city, Lisbon.

All Cyclists - welcome We welcome cyclists of all levels on our trip! We do this by offering two routes on many of the days, so that the advanced cyclists can tackle some extra climbs including the Poiares, the Capela da Torre (highest road in Portugal) and the Parque Natural das Serras de Aire e Candeeiros.

Trip Summary Departing from Dublin on Sunday 25th June, we travel to our hotel in Porto. The next morning we will begin the first of five days cycling. We will follow the River Douro inland through gorges and vineyards bringing us to Régua where we will spend the night. The next day will be the hilliest of the week. We will travel away from the Douro Valley taking in some breath-taking views until the

terrain levels off and we make our way to Seia. From Seia the route follows the gentle winding Rio Alva and crosses a river valley bringing us into Coimbra. From Coimbra we head back towards the coast and enjoy some flat riding taking in the headland at Sitio and the surfing town of Nazare. This brings us into the beautiful and historic town of Óbidos. The final day sees us riding towards Serra de Montejunto, a mountainous and protected landscape. From here we enjoy a descent into Lisbon to reach the Miradoura do Parque Eduardo VII.

The Challenge You will be cycling over 620km (incl. climbs) or 590km (ex. climbs) over the five days, while raising vital funds for The Irish Hospice Foundation.

2

porto

LISBON

Cycling Safaris

porto

LISBON

We enlist the help of the fantastic team at Cycling Safaris to plan our route and to manage all aspects of our cycle for the entire duration of the trip.

Cycling Safaris have been organising bike tours along the west coast of Ireland since 1989. They have since expanded their cycling holidays to cover the length and breadth of Ireland, as well as numerous locations all across Europe. The Irish Hospice Foundation has been working with Cycling Safaris since our annual cycling challenges began back in 2009. This cycle will be our 12th adventure with them and we are delighted to have them on the team again!

itinerary

across the pleasant towns of Coja and Arganil.

It is just a short transfer from Vigo airport to Porto. Opening up like a pop-up book from the Rio Douro at sunset, humble-yetopulent Porto entices with its higgledy-piggledy medieval centre, divine food and wine, and charismatic locals.

This could be considered the easiest day but it is not completely downhill as it is necessary to cross from one river valley to the next, the Mondego.

This we follow the rest of the way into Coimbra. The medieval capital of Portugal for over a hundred years, and site of the country’s greatest university for the past five centuries. Its atmospheric, beautiful historic core cascades down a hillside in a lovely setting on the east bank of the Rio Mondego: it’s a multicoloured collage of buildings spanning nearly a millennium.

Day 2

Day 5

Day 1 Arrival in Porto

Porto to Peso de Régua (115km)

Coimbra to Óbidos (142km)

Leaving this wonderful city the River Douro (or Golden river) is our inspiration. As we head further inland the scenery becomes more dramatic, the river weaves through deep-cleft gorges terraced with thousands of vineyards.

Most of the cycling today will be following the river ensuring a great opportunity to take in these views. The destination Regua (as the town is often known) lies on the river and is the centre of the demarcated region for port production.

Although the longest day this is certainly the least hilly as the route veers away from the interior and back towards the coast. There is some lovely flat coastal riding on a bike path for almost 50km until we reach Nazare. This is Portugal’s most famous fishing village. Here the headland at Sitio provides one of the most famous views of the Portuguese coast. It is a 318 metre rock face with a sheer drop to the sea. In recent times Nazare has hit the headlines as the surfing world record holders have tumbled on 100ft waves!

There are no shortage of extra climbs and extra terrain to explore in this beautiful region. A short but challenging option is the Poiares. This climb is only 4.84km in length but rises 450m in this short distance, so averages a challenging 9.2% with a short section at a very unfriendly 20%.

If the flat riding is too easy, then the Parque Natural das Serras de Aire e Candeeiros beckons. Once the haunt of dinosaurs the park is famous for its cathedral-like caves, but above ground it’s also scenic, particularly the high Planalto de Santo António where gorse and olive grove-covered hills are divided by dry-stone walls and threaded by cattle trails.

Surrounded by a classic crenellated wall, Óbidos’ gorgeous historic centre is a labyrinth of cobblestoned streets and flower-bedecked, whitewashed houses livened up with dashes of vivid yellow and blue paint.

Day 3 Peso to Seia (120km) Today is the hilliest day as we pedal away from the Douro Valley and venture towards a different landscape and region. The initial views back to the River Douro are breath-taking. The terrain then levels off and pretty towns and villages of cobbled streets and quaint churches take our attention. A worthwhile stopping point is the Santuario da Lapa located at the highest point of the days ride (900m).

Day 6 Óbidos to Lisbon (110km) We begin riding towards the Serra de Montejunto, a mountainous and protected landscape. The route skirts this park, looking up at the hillside dotted with ancient windmills. For the more adventurous a wonderful climb (that has featured in the Volta a Portugal) is possible to the top of this mountain with stunning views for miles around. The medieval town of Torres Vedras is a great place to stop for a break and to admire the Statue to Portugal’s greatest bike rider Joaquim Agostinho.

The mountains of the Parque Natural da Serra da Estrela soon mark the horizon. This was one of Portugal’s first designated parks, and at 888 sq. km remains the country’s largest protected area. The rugged boulder-strewn meadows and icy lakes of its high country form one of Portugal’s most distinct and unexpected landscapes. It’s a glorious, seasonal beauty: the altiplano (upland) area is stunning in the morning or evening light.

Some hillier terrain follows before we enjoy a nice descent into Lisbon on a bike path stretching to the Miradouro do Parque Eduardo VII. The city sits below with views to the Rio Tajo. It is a gentle pedal downhill along the fancy Avenida da Liberdade to Palácio Foz. Our hotel is centrally located right here at the heart of this wonderful city.

Day 4 Seia to Coimbra (105km) Perhaps the highlight of the trip for the stronger riders is the chance to tackle the Capela da Torre – this is the highest road in Portugal and is a fraction under 2000m. The climb is a massive 29km long and gains 1574metres at an average of 6.3%. Thankfully the gradient never tops 10%. The day begins on the edge of the Park with some dramatic scenery. The cycle then follows the gentle winding Rio Alva on a quiet road coming

Day 7 Lisbon to Dublin A short transfer to Lisbon Airport for our cyclists. The bikes will be brought back overland.

3

? p u n g i s i o how d The total participation fee is €3,000 for the Porto to Lisbon Cycle Challenge.

The total participation fee of €3,000 is split into two parts: • Tour cost of €1,070.

• Sponsorship of €1,930.

The tour cost of €1,070 must be paid as follows: • Registration fee of €250 on sign-up.

• Balance of €820 due 21 days after receipt of registration fee.

The sponsorship of €1,930 must be paid: • First payment of €965 due 1st May 2017.

• Second payment of €965 due 31st May 2017.

The participation fee can only be guaranteed for participants who register and pay their registration fee by Monday 20th March 2017.

An additional cost may occur after this date due to the fluctuation of flight & accommodation costs.

“I hope you will join this wonderful trip that raises important funds for such a worthy cause. I look forward to seeing old friends and making new ones as we travel across Portugal”

Paul Kimmage

Discounted rates:

Photo: Paul Kimmage, Journalist and former professional cyclist with Gene Murtagh, CEO Kingspan.

Introduce a Friend or Sign up as a Team!

Information Evening An Information Evening will take place in April 2017, and is an opportunity to meet the IHF and the Cycling Safaris team 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 strongly encourage you to come to the Information Evening as it provides an important and valuable opportunity to discuss all matters of the cycle. All presentations will be made available to everyone after the evening; however this does not replace the value of being there in person.

Avail of our sponsorship discount* by referring a friend, or by signing up as a team of 4 or more! This will reduce your sponsorship total by €250. *This discount offer is only available to participants who introduce a friend that has never previously participated in The IHF Cycling Challenge, or Teams of 4 or more who sign-up together (this can include previous participants).

Pre-trip briefing A detailed pre trip briefing will be sent out to participants approximately one month before departure with all the necessary details including travel arrangements.

4

the

route porto

LISBON

Porto tot 1LJuilys20b17on Sun 25th June to Sa

st

The Irish Hospice Foundation

CYCLE

2017

CHALLENGE 620km and plenty of climbing!

More details from:

www.hospicefoundation.ie or 01 679 3188 5

helpful

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

facts

www.hospicefoundation.ie

@irishhospice

SECURING YOUR PLACE

TRAINING SUPPORT

To secure your place you will need to:

This cycle crosses the naturally undulating terrain of Portugal. Although it is not a flat route we will stick mostly to the foothills and not seek out any great climbs. However for the more experienced cyclists and those looking for a greater challenge there is some hillier terrain that can be tackled. It has to be recognised that strong legs and 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:

•

Fill in and return the enclosed registration form by 20th March 2017.

•

Pay €250 non-refundable registration fee using the form enclosed.

•

No travel arrangements will be made until the full tour cost of €1,070 is paid.

Registrations taken after the 20th March 2017 may incur extra costs. This will be made clear to participants in advance of registration.

SPONSORSHIP TARGETS & DEADLINES Total Participation Fee: €3,000 •

Deadline 1: Pay registration fee – €250.

•

Deadline 2: Pay balance of tour cost – €820, 21 days after receipt of the application form and registration fee to secure your place on the trip.

N.B. No travel arrangements will be made for you until the balance of the tour cost is paid.

•

Professionally prepared training guide

•

An information evening 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!

SUPPORT TEAM

TRANSPORT •

Flight to Vigo on the 25th June and return flight from Lisbon on the 1st July. For those staying on for extra nights you must make your own return flight arrangements.

WEATHER

•

Mechanical support.

•

•

First Aid support.

Guiding the route.

•

Organising water/snack and lunch stops.

If these deadlines are not met you may jeopardise your place on the trip.

FOOD & ACCOMMODATION •

Accommodation is provided for every night of the trip. It is shared twin rooms in 3* or 4* hotels. Please indicate on your registration form if there is someone that you would prefer to share a room with. Single rooms are available for an additional fee. If you choose to stay on in Portugal for the weekend after the trip, 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.

FUNDRAISING SUPPORT The team of professional fundraisers at The IHF will provide you with fundraising support including:

•

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.

Transferring your luggage from hotel to hotel.

•

An online sponsorship account friends, family and colleagues can sponsor you online through your own personalised web page on www.idonate.ie

•

Transporting your bike to Portugal

Deadline 4: 31st May 2017. By this date you must have raised and paid a further €965. This will cover your total participation fee of €3,000.

•

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.

•

•

Access to fundraising materials and IHF merchandise.

•

•

Deadline 3: 1st May 2017. You must raise and pay €965 by this date.

•

lunch stops it is not practical to have a hot meal at the lunch stops. Lunch is not provided on day 7.

A support team will organise the ride and be responsible for:

•

A direct phone number and email address for an IHF fundraiser.

•

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

6

IrishHospiceFoundation

Cycling 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.

BIKE INFORMATION You will need to bring your own bike to Cycling Safaris in Dublin approximately 1 week in advance of the trip in order for it to be transported to Portugal. Please ensure that it has been recently serviced.

After the trip we will arrange for your bike to be transported safely back to Dublin where it will be available for collection from Cycling Safaris.

WHAT IS NOT INCLUDED •

Travel insurance – mandatory – you must provide us with evidence of your cover. Note: You will not be allowed participate in the trip without travel insurance.

•

Bike insurance

•

Personal spending money

•

Lunch on day 1

Cycle for Care The difference you can make in one week

• Demand for Nurses for Night Care has doubled over the past five years and continues to grow. About €720,000 is needed to fund the service in 2017.

• Three out of every four people want to die at home, but only about one in four get to do so, according to our research.

Our Nurses for Night Care service provides care to people in their own homes at end of life right across the country.

Nurses work throughout the night supporting people to spend their final days at home in their own bed, with their families by their side.

A total of 1,734 nights of care was provided by our nurses to 550 people at end of life nationwide last year alone.

Voluntary funds like those raised through the cycle challenge are vital in making this care a reality.

• Nurses for Night Care brings hospice care and principles to adults, children and families where and when they are needed.

• The care and reassurance the nurses provide throughout the night to a loved one, in their own home is immeasurable for the person and their family.

• Cyclists who raised funds for us over the years have played a major role in supporting this care.

• Each day spent in the saddle will mean at least one night of comfort and nursing care. The minimum amount raised by each cyclist (after costs) equates to 6 nights of care. One week really does a make a difference to those at a very vulnerable time of life.

We hope you will be part of funding this vital Nurses for Night Care service.

s n o i t i d n o c d n a terms The Irish Hospice Foundation Cycle Challenge: Porto to Lisbon 1. Anyone taking part in this event is acting as a volunteer for The Irish Hospice Foundation and is responsible for and obtaining all necessary permits and permissions in respect of public collections.

GENERAL

2. The Irish Hospice Foundation has appointed Irish Cycling Safaris Ltd (The Company) to organise transport, accommodation, first aid and guides for The Irish Hospice Foundation Cycle Challenge (“the Event”) and accepts no liability for any loss or damages howsoever arising or for cancellation of the Event for any reason.

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

4. The Irish Hospice Foundation has no control over what happens on the Event from the time it departs from Dublin to the time of its return to Dublin. The Irish Hospice Foundation is, therefore, under no liability in contract, negligence, or otherwise for any matter occurring during those dates or for any loss or damage sustained by any participant during those dates. Any complaint must be notified directly to the Irish Cycling Safaris Ltd within 14 days of the end of the Event, in accordance with Irish Cycling Safaris Ltd Booking Conditions below.

REGISTRATION FEES AND DONATIONS

5. To secure your place you will need to: Fill in and return the enclosed registration form by 20th March 2017 along with your €250 non-refundable registration fee. You will need to pay the balance of Tour Cost, €820, 21 days after receipt of the application form and registration fee to secure your place on the trip. N.B. No travel arrangements will be made for you until the balance of the tour cost is paid. Before 1st May 2017 you must have raised and paid €965 of your Sponsorship balance. By 31st May 2017 you must have raised and paid a further €965 bringing your total Participation Fee to €3,000, otherwise you jeopardise your place on the trip.

6. If you are unable to obtain the minimum target amount of sponsorship (€1,930) you are liable to forfeit your place on the Event and your nonrefundable registration fee of €250; donations will only be refunded directly to the donor, upon written request by the donor.

7. You must make it clear to all your prospective sponsors that €1,070 of the €3,000 comprises the cost of registration 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 the Event, donations and registration fees will not be refundable to you; donations will only be refunded directly to the donor, upon written request by the donor.

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

IRISH CYCLING CONDITIONS

SAFARIS

LTD

BOOKING

15. Irish Cycling Safaris LTD (The Company) accepts bookings subject to the following conditions: Passports, Visas Clients are responsible for arranging, and must be in possession of a valid passport and any visa required for the whole of their journey. Information about these matters or related items (climate, clothing, baggage, personal gear etc.) is given in good faith but without responsibility on the Company. Clients with a European passport will not need a visa and it is the responsibility of any other passport holders to check with their embassy.

Insurance &Cancellation Insurance Travel insurance is mandatory for all clients whilst on a tour organised by the Company. Clients together with their personal property including baggage are at all times solely at their own risk.

Clients are wholly responsible for arranging their own insurance. Clients are responsible for ensuring that they are in possession of private Travel Insurance with protection for the full duration of the tour in respect of at least medical expenses, injury, death, repatriation, cancellation and curtailment, with adequate cover. Clients should ensure that there are no exclusion clauses limiting protection for the type of activities included in their tour. Clients should satisfy themselves that any travel insurance arranged through the Company is what they require and should arrange supplementary insurance if need be. Clients will be deemed to have read the insurance cover.

Itinerary While we endeavor to follow our itinerary there may be exceptional circumstances when this is not possible. We reserve the right to cancel or modify the itinerary as necessary. Due to the nature of the trips arrangements have to be planned well in advance, so changes may have to be made and the Company reserves the right to do this. Should a material change be necessary the Company will inform you as soon as reasonably possible. A material change includes, for example, a significant change of destination or route time by more than 12 hours.

Medical Form Prior to the event you will be asked to complete a medical questionnaire. If you are over 60 years of age or if you have any medical condition that could be adversely affected by exercise, particularly a heart condition or asthma, you must provide the Company with a medical certificate from your doctor.

By signing this form you are confirming that, to the best of your knowledge, your general state of health is good and that you take full responsibility for your health and personal wellbeing.

Minimum Age Participants must be over the age of 18 on the day of departure. The Company reserves the right to refuse participation to anyone at any time without having to disclose the reason.

SAFETY RULES

Challenge Participation

11. Safety approved cycling helmets are compulsory.

We accept your booking on the understanding that you realise the hazards involved in this type of tour, including injury or death, disease, loss or damage to property, and that you come on the tour at your own risk. We accept no liability for any injury resulting from the hazards of cycling or any other activity included in the itinerary, or for any other mishaps to yourself or your property, and in particular as a

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.

8

consequence of strikes, wars, riots, sickness or other such happenings. Any independent travel arrangements that you make are also at your own risk. While on the cycle, illegal behaviour or conduct considered unsuitable will not be tolerated and could result in the participant being asked to leave the cycle with no refund. The decision to participate in the cycle or parts therein lies with each individual.

Equipment Clients taking their own equipment on tour are responsible for any charges for transportation levied by the transport provider including excess baggage.

You must wear a helmet on this trip. Clients are responsible for ensuring that their bike is in a suitable condition for participation in a cycle of this nature.

The company will endeavour to accommodate clients, but cannot guarantee that correct tools and spares will be available. Clients will be expected to pay for any spares they require during the trip.

If you have a complaint Should you have a complaint about any of the tour arrangements, you must tell both the relevant supplier and the Company’s representative whilst on the trip or within 14 days of the end of the Event. It is only if the Company and the relevant supplier know about problems that there will be the opportunity to put things right.

Delays The timings of road, ferry or flight departures are estimates only. We cannot accept liability for any delay in your travel arrangements from or to Ireland whether the cancellation or delay is caused by adverse weather conditions, rescheduling by a transport provider, port authority, mechanical breakdown or industrial action. Where long delays result in lost challenge time, no refunds are given by hotels or suppliers. Similarly, transport providers do not offer compensation for delays. It is in recognition of the above that the Company’s travel insurance policy offers some monetary compensation for delays over 12 hours to cover lost time or delayed return.

This Event is conceived and operated by Irish Cycling Safaris Ltd. [Ground arrangements are fully insured through Irish Cycling Safaris Ltd.] Irish Cycling Safaris Ltd, Belfield Bike Shop, UCD Belfield, D-4 WAIVER

16. Participants hereby acknowledge that they take part in the Event and all functions and events related thereto at their own risk. Participants hereby agree for themselves, their executors, administrators, heirs, next-of-kin, successors and assigns to waive release and discharge and to neither have nor institute any claims whatsoever against The Irish Hospice Foundation or Irish Cycling Safaris Limited.

This waiver covers death, disability, personal injury, damage to and loss of property of a participant and is effective whether or not such death, injury, damage or loss may have been caused directly or indirectly or wholly or partly by any act or omission including negligence, of The Irish Hospice Foundation or Irish Cycling Safaris Limited or their respective servants, agents and contractors and will bind the heirs, executors and/or trustees of the estate of a participant.

17. We are delighted that Paul Kimmage is supporting us. We cannot however guarantee his participation.

registration form PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS AS CLARITY IS ESSENTIAL WHEN MAKING FLIGHT BOOKINGS PERSONAL DETAILS

Are you a smoker?

Yes

No

Please see size chart and tick size req.

Size

XS

S

M

L

XL

XXL

3XL

4XL

JERSEY SIZE CHART XS S M L XL XXL 3XL 4XL HEIGHT cm 169 – 176 172 – 176 175 – 179 178 -182 181 – 185 184 – 188 187 -191 190 – 193 CHEST cm 69-96 92 -96 96 – 100 100 -104 104 -108 108 -112 112 – 116 116 -120

FLIGHT 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)

________________________________________________

OUTBOUND

SUN 25th June

FR241

Dublin 06.55am

Vigo 10.15am

RETURN

SAT 1st July

FR7329

Lisbon 10.00am

Dublin 12.50pm

Are you planning on taking the flight out with us on Sunday 25th June 2017?

Yes No Are you planning on taking the return flight with us on Saturday 1st July 2017?

Yes No If you are not returning with us you must inform IHF before the 20th March 2017.

If you are travelling separately from the group you are responsible for your own accommodation for the extra nights and your return flight. We will be happy to provide you with the name and details of the relevant hotel.

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

Yes

No Please specify name__________________________________

There are a limited number of rooms available at a supplementary cost of €235.

If you wish to have a single room and are happy to pay this supplement please tick the following box.

We will endevour to accommodate each single room request but as there is limited availability they will be handled on a first come first served basis.

I have read and agree to abide by the Rules and Regulations in the accompanying event brochure which I understand may change from time to time and be posted on the web site www.hospicefoundation.ie. In particular, 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 Irish Hospice Foundation Please charge €250 to my (Tick as appropriate) VISA MASTERCARD LASER Credit Card Number

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

Name (as on passport) _________________________________________

________________________________________________________________ Exp Date CVV No ________________________________________________________________

Passport Number

_________________________________________

Expiry Date

_________________________________________

Place of Issue

_________________________________________

Date of Issue

_________________________________________

Address Of Cardholder ________________________________________________________________

Nationality

_________________________________________

________________________________________________________________

Country of Residence _________________________________________ INSURANCE Do You have travel insurance*

Yes

No

* Travel insurance is Mandatory. Clients are responsible for ensuring that they are in possession of private Travel Insurance with protection for the full duration of the tour in respect of at least medical expenses, injury, death, repatriation, cancellation and curtailment, with adequate cover.

Do you have any special dietary requirements?

Yes No If yes, please give details. Please note we can only cater for allergies not preferences ________________________________________________________________

Name on Card ________________________________________________________________

During the fundraising time before the event your fellow participants may wish to contact you. If you agree to have your email shared with the other participants ONLY please tick the following box All information on this challenge is correct at time of going to press.

Participation in this event is at the sole discretion of The Irish Hospice Foundation Please return your completed application form plus deposit to: Louise McCarron, Irish Hospice Foundation, 32 Nassau St, Dublin 2, Ireland Louise is contactable at 01 679 3188 or louise.mccarron@hospicefoundation.ie

www.hospicefoundation.ie @IrishHospice IrishHospiceFoundation irishhospicefoundation CHY: 6830

CYCLE

E G N E L L A H C

The Irish Hospice Foundation Morrison Chambers 32 Nassau Street, Dublin 2, Ireland

Telephone: +353 (0) 1 679 3188 Fax: +353 (0) 1 673 0040 Email: info@hospicefoundation.ie

www.hospicefoundation.ie