Name *

First Name

Last Name

Please confirm the nights you will be staying *

Please note that any extra nights, beyond Saturday and Sunday which are included in the LifeRide, will be payable to the hotel on departure. We will make your reservation for you though.

Thursday (rate = $119)

Friday

Saturday

Sunday (rate = $119)

If you are bring a non riding partner (sharing your room), please input their name below

First Name

Last Name

Please check any food requirements / allergies that apply to you

We will do our best to accommodate all food allergies and notify the hotel

Vegetarian

Vegan

Pescetarian

Gluten intolerant

Lactose intolerant

Nut allergy

Shellfish allergy

Soy allergy

Other (please note below)

Emergency contact name *

First Name

Last Name

Emergency contact telephone *

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