Medical
Declaration
Form
For all riders and support team members taking part in La Vuelta a Barca 2026.
Important
Information
It is essential that We Move As One Ltd have access to accurate and up-to-date medical information for every participant on the Tour. This ensures that, in the event of an accident or medical emergency, appropriate care can be provided without delay. This requirement applies to all riders and support team members.
All participants must complete this form and return it to: wemoveasonecycling@gmail.com no later than 5 August 2026.
Confidentiality
And Data Handling
All information provided will be kept strictly confidential and handled in accordance with the We Move As One Ltd Privacy Policy. Access to this information will be restricted to:
- We Move As One Ltd
- The La Vuelta a Barca Support Team
- Medical professionals or practitioners where necessary, including ambulance or hospital staff
Data Handling
Continued
Information may also be shared with the insurance provider for the La Vuelta a Barca 2026 event. Insurers may require disclosure of:
- Medication taken daily
- Any operations relating to cancer, cardiac conditions, or limb injuries
- Pre-existing medical conditions
- Details of an accident, should one take place during La Vuelta a Barca
Duplicate copies of each form will be stored securely in support vehicles across all pelotons, as riders may move between groups. Forms will only be accessed in the event of a medical need. All forms will be securely shredded after the Tour.
Important: Failure to disclose relevant medical information may result in inappropriate treatment during an emergency and may invalidate medical insurance coverage. Neither We Move As One Ltd nor its agents, representatives, or support team members will be liable for any costs or consequences arising from non-disclosure.
Personal
Information
Emergency
Contact
Medical
Information
If yes, please provide details:
If yes, please provide details:
If yes, please provide details:
Please list all prescribed medications you currently take on a regular basis:
If you do not take any prescribed medication regularly, type None.
Medical
History
If you answered Yes to any of the above, please provide details and dates:
GP / Medical
Practitioner Details
Consent And
Fitness
Consent to share medical information in emergencies
I consent to the sharing of my medical information with medical professionals, emergency responders, and relevant event personnel if required for my safety or treatment during the event.
Fitness to participate statement
I confirm that, to the best of my knowledge, I am physically and mentally fit to participate in an endurance cycling event and understand the physical demands involved.
Medication
Notes
If you carry medication requiring special storage or emergency administration, for example insulin, inhalers, or an Epipen, please provide details:
Declaration
I declare that the information provided in this form is complete and accurate. I understand that:
- I cannot hold We Move As One Ltd, the event organisers, support team members, or other participants liable for any illness or injury resulting from my failure to disclose relevant medical information.
- I cannot hold the above parties liable for any illness or injury sustained during the "La Vuelta a Barca" event that arises from my own actions or inactions.
- I must inform the event organisers of any changes to my health status, whether temporary or permanent, prior to or during the event.
Before returning: check every section is complete, all Yes answers have details and dates where relevant, and all signature fields are signed and dated.