In order to register for the ‘Cycle Cambodia’ event, you will
need to complete the registration and medical forms, which
need to be posted back with the £300 registration fee (This
is non-refundable and is not included in the required
sponsorship amount of £3000) You also need to supply two
passport sized photographs. Please make cheques payable
to International Childcare Trust.

Registration Form
Medical Questionnaire

Post with your cheque for £300 (made payable to
International Childcare Trust):

Fundraising Officer
International Childcare Trust
Development House
56-64 Leonard Street
London
EC2A 4JX

e-mail: cyclesrilanka@ict-uk.org
Tel: 0845 3300 533

UK charity Commission Registered No 326240. Content © International Childcare Trust 2003