Register / accept T & C

Replacing Rider

Name of rider you are replacing*

First Last

Your Personal Details

Your name*

First Last

Gender*

Male
Female

Age*

We won't tell anyone.

Phone*

Email*

One registration per email address thanks Mo Bros.

Enter Email Confirm Email

Home Address*

We promise not to send you any junk mail.

Cycling Australia or MTBA Member number

Only if you have one. We'll only use it for insurance purposes.

Emergency + Medical

Emergency Contact Name*

First Last

Phone*

Must be a phone we can call on the day if needed.

Medical conditions*

Movember Registration

Your Movember URL*

You must sign up to fundraise for Movember AND register with the Moustache Riders Team here before you submit your entry. We will be checking all registrations as they're received and cancelling any entries that don't meed this requirement.

If you need any help, send us a message using the contact form.

The Fineprint*

There's some conditions you'll need to agree to. Check them out at and if you're happy, tick the box and enter.

I agree to the terms

Rider replacement registration

Replacing Rider

Your Personal Details

Emergency + Medical

Movember Registration