Peak District Charity Ride 2026

👤

Personal Details

First Name * Please enter your first name

Last Name * Please enter your last name

Email Address * Please enter a valid email

Mobile Number * Please enter your mobile number

Emergency Contact Name & Number * Please provide an emergency contact

🏍️

Motorcycle Details

Make * Required

Model * Required

Year

Registration Plate * Required

Engine Size (cc)

🪪

Rider Details

Licence Type * Please select your licence type

Years Riding

Rider Category *

DAM Member — I am a current member of Derbyshire Advanced Motorcyclists Guest / Solo Rider — I am riding with a DAM member and am responsible for my own riding and safety Non-Member — I am not affiliated with DAM

Please select your rider category

💷

Payment — £20 Entry Fee

🏦 Bank Transfer Details

Account Name

Derbyshire Advanced Motorcyclists

Sort Code

05-04-07

Account Number

45092683

📝 Payment Reference: CHARITY RIDE – [Your Full Name]
e.g. CHARITY RIDE – James Smith

This fee covers event costs including printing, admin, and food vouchers at The Chequered Flag Café. Any surplus funds will be donated directly to Safe & Sound Derby.

Payment Confirmation *

I have already made my bank transfer payment of £20 I will make payment within 48 hours of submitting this form

Please confirm your payment status

✅

Declaration

By submitting this form, I confirm that:

I am riding at my own risk and understand that this is a social charity ride, not an assessed or instructed ride.

My motorcycle is roadworthy, taxed, insured, and I hold a valid licence for the motorcycle I will be riding.

I will follow the Highway Code and ride responsibly at all times throughout the event.

I will follow the guidance of DAM ride leaders and markers throughout the event.

If I am a solo rider accompanying a DAM member, I understand that I am still fully responsible for my own riding and safety.

I understand that DAM, its volunteers, and its members accept no liability for any loss, damage, or injury incurred during the event.

I agree to the above terms and conditions You must agree to the declaration to register

By submitting, you agree to be contacted about this event by DAM.
Your data will not be shared with third parties.
Questions? Email: events@derbyam.org.uk

Peak DistrictCharity Ride