Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I confirm that i've read and understood the Induction document *

Yes

I'd like to lead rides for the following tiers *

Green

Blue

Yellow

Red

I'm happy for my photo and name to be shared on the LDN RIDERS website and social channels *

Yes

No

I consent to being added to the Ride Captain WhatsApp chat group *

Yes