The Big C4S Cycle Event 2017

Dear C4S Participant


Thank you for supporting the UKST by taking part in one of our most important 'homegrown' events - Cycle for Sepsis C4S.


In order to progress your enrolement for a place in the C4S we require that you complete the registration process below.


Registration for the event is free however we do ask that a minimum sponsorship of £100 is raised, this will cover the cost of administration of the event.


Once this form is completed we will be send you a confirmation email. 


Please plan your route carefully as a team accounting for individuals needs and potential external factors and also arrange for a support vehicle. We can offer some advice if you need this.


We really really appreciate what you are doing for us, a very big thank you and good luck for what promises to be an amazing event!


The enclosed link has some valuable information that will help you to prepare for the event.


British Cycling Advice & Tips


Please send us details of your training or images we can use on social media to promote your participation & your team, everyone enjoys seeing the hard work behind the success!!


Thank you for choosing us, we will cheer you on all the way and offer our support if needed. Please remember endurance cycling requires a lot of planning and a training schedule tailored to your own personal needs.


Best Wishes

The UK Sepsis Trust Team



Participant Disclaimer


By completing & submitting the enclosed registration you accept all of the conditions below.


By participating in this event you accept these terms and conditions of entry and acknowledge that The UK Sepsis Trust has no responsibility or liability for any loss or damage to your belongings. You also acknowledge and accept that The UK Sepsis Trust will not be liable for death or personal injury unless it is caused as a direct result of The UK Sepsis Trusts’s negligence.


Endurance Cycling is a potentially hazardous activity. By signing the entry form and participating in the cycle event, I agree to abide by the rules of this event and certify that I am fully and physically fit to participate in the race, and that I fully accept the Waiver of Liability: I understand that participating in the event may involve real risk of serious injury or even death from various causes including but not limited to falls, over exertion, dehydration, contact with other participants, spectators, road users, effect of weather and condition of the road.


I voluntary assume all the risks associated with my participation in the event or any activity associated with it.

Registration Entrant Ticket*
  • 1
Type of Cyclist/Team Member*
  • Cycle Team Leader
  • Cycle Team Member
  • Cycle Lone Rider - No team
  • Support Vehicle Member
Cycling TEAM NAME (can be changed at a later date)*

Cycle Shirt Order




Please state your Cycle Shirt Size & Gender 17*

Contact Information

State / Province*
Confirm Email*
Next of Kin (name, mobile & relationship) Karen, 0121 sister*
What best describes you
  • Affected by Sepsis
  • Bereaved
  • Fundraiser
  • Healthcare Professional
  • Staff
  • Survivor
  • Volunteer
Additional Comments

Security Code