Booking Form - Self Guided - Cicloposse Bike Tours

Your Email*

Number of people

Travel Information

Fill in as many details as you can for each person

Persons

Name	Last name	Address	Phone number	E-mail	Gender

Passport information

All hotels in Italy require passport information so to better facilitate check in please provide us with your passport details. You can learn about our data policy in our privacy policy linked at the bottom of the page

*

Name on passport	Birth date	Birth place	Passport number	Issuing country	Expiration date

Rooming preference

Single
Double, with double bed
Double, with twin bed

Sharing with

Bike info

Please provide your bike request and bike sizing information

Bike type

Race bike
Hybrid bike
E-bike
Gravel bike

View bikes

Height	Weight	Frame size

Pedals

Flat
Toe clip/cage
My own cleat

View accessories

Bike Types & Sizing Notes

How do you roll?
What is your current rider type? Use the descriptions to determine your current skill level - please select one

LEISURE My Lifestyle is: I ride my bike on a regular basis either for fitness, to commute to work, or just for fun. Active lifestyle with an occasional physical challenge. I want to ride on my vacation, but not every day. I enjoy: Rolling terrain with some hills that are not challenging. I feel great after reaching the top. I don't mind hopping in the support van when I've ridden enough
ACTIVE My Lifestyle is: Fitness is central to my life. I ride my bike regularly, on a weekly basis, and am comfortable with rides of 2 hours or more at a relatively strong pace. I like a physical challenge and to feel my heart rate increase. I enjoy: All terrain, with hills and some moderate mountain passes that I can brag about. I like getting some speed on moderate descents as well. I track elevation and feel comfortable climbing.
AVID My Lifestyle is: I ride my bike an average of 100 miles per week and enjoy a fast pace for an extended period of time. I love train, improve, and maybe even race my friends. I enjoy: All terrain, with hills and big mountain passes. Steep technical descents are fun.

Health Questionnaire

Please answer the questions below and list any health conditions. Please explain any “yes” answer

Do you have any significant medical conditions that have required the regular care of a physician, or about which we should be aware?

Yes
No

Please explain

Do you have any allergies or have you had any adverse reactions to any drugs?

Yes
No

Please explain

Do you have any dietary restrictions?

Yes
No

Please explain

Women: Is there any chance that you might be pregnant at the time of your trip?

Yes
No

By checking this box I (and all in my party on this form) agree to the contract linked below.

By submitting this form and/or submitting payment you are adhering to the contract as set forth on this page: Tour Contract & Release of Liability

*

I Agree*

Trip Payment

Payment is by credit card Visa or Mastercard

Booking Deposit euro 100

Final payment 30 days BEFORE THE TRIP DEPARTURE I hereby authorize to charge the balance due

Card number	Expiration	Cardholder name	Card Type: Visa or Mastercard	Country of credit card issuance

Note:

Please advise your credit card company an Italian company will charge your card

Be aware the amount owed will be billed in the currency of the country in which the credit card was issued

By clicking the “Sign me up” button below, I hereby authorize Cicloposse Bike tour Agenzia Viaggi On Line registered at the chamber of commerce in Siena (register n. 97480 of 10/05/1995, in accordance with local regulations on e-commerce: D.Lgs.70/2003, D.Lgs 206/2005 - Codice del Consumo, D.Lgs. 21/2014) to charge my credit card according to the conditions above. I acknowledge that I have read and agreed to the standard cicloposse Terms & Conditions for tour reservations.

Booking Form – Self Guided

Travel Information

Passport information

Bike info

Health Questionnaire

Trip Payment

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