Search website
Information for patientsInformation for families and carersInformation for healthcare professionals
Visit the Dying Matters website
 

Register

Please use the on-line form below to register as many cyclists as you like for this year's Cycle for Life.  

Step One
Fill in the details of the group leader / payee in the form below and click the 'add details' button.

Step Two
An additional form will now appear below the add details form with the currently registered cyclist and details of the payee, please ensure that these details and the address and email details are correct.  The registration fee is £10 for adult cyclists and a £5 fee for children under 16, the total is displayed below the cyclists name.

Step Three
If you are only registering one cyclist - now select the 'Make Payment' button and you will be taken to a secure payment website. 
If you want to add more cyclists - use the original form to add as many further cyclists as required, each new cyclist will then be listed on the bottom form and the registration fee total will be displayed beneath the list.  In the event of an error, you can remove a cyclist by click the X at the end of the line of each cyclist.  Once you have added all the cyclists in your group select the 'Make Payment' button and you will be taken to a secure payment website. 

Completion and post-registration
After sucessfully completing the transaction you will be taken to a page confirming that the payment has gone through and you will also receive a confirmation email.   Sponsorship packs and further details will be posted to each cyclist in due course.

Alternatively click here to download a form  Simply complete this form and return it along with your £10 registration fee (£5 for under 16)  to Farleigh Hospice. FREEPOST RRLJ-BKTZ-ACEH, Farleigh Hospice, North Court Road, Chelmsford, CM1 7FH with your payment.

If you have any questions you can email us on: events@farleighhospice.org or telephone on: 01245 457408.

Thank you for your support.
Contact Details

Fields marked with an asterisk * are required

  1. dd/mm/yyyy
    Please Note: All under-16s must be accompanied by an Adult

  2. Click 'Add Details' to register any number
    of participants, each new participant will be
    added to the form below!

Farleigh Hospice, North Court Road, Chelmsford, Essex, CM1 7FH. Tel: 01245 457300 Fax: 01245 457333
Charity Registration Number: 284670. Registered with limited liability No: 1619905

Web Design & SEO by Coastdigital