1. Name
*
First Name
Last Name
2. Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
3. Email address
*
4. Mobile phone number
*
6. Date of birth
MM
DD
YYYY
7. Emergency contact name
*
8. Emergency contact number
*
9. Passport Number
*
10. Passport expiry date
*
11. Passport country of issue
*
12. Do you have any dietary requirements/food allergies?
*
Please Select
YES (Please provide details below)
NO
13. Do you have any non-food allergies and/or conditions?
*
Please select
YES (Please provide detail below)
NO
14. Do you have any recurring joint or back problems?
*
Please select
YES (Please provide details below)
NO
15. Do you have any medical conditions (Asthma, Epilepsy, Angina, High Blood Pressure etc)
*
Please select
YES (Please provide details below)
NO
16. Do you have any medial allergies? (Penicillin etc)
*
Please select
YES (Please list details below)
NO
17. Are you taking or require any medication?
*
Please select
YES (Please list details below)
NO
18. Is there anything else you wish to let us know?
*
Please select
YES (Please add detail below)
NO
19. Medical consent
*
20. Would you like to book a hotel room on the night before the challenge?
*
Please select
NO
YES SINGLE ROOM - Additional charges apply (from £179)
YES - SHARED ROOM - Additional charges apply. Please specify below if you have someone you wish to share with (from £90)
21. City Hotel, Beauvais (07 June 2024)
*
Please select the type of room you would like
Single occupancy room (subject to availability and additional charges apply from £129)
Shared twin room (I do not mind who I share with)
Shared twin room (I would like to share with person listed below)
22. Ibis Cambronne, Paris (08 June 2024)
*
Please select the type of room you would like
Single occupancy room (subject to availability and additional charges apply from £149)
Shared twin room (do not mind who i share with)
Shared twin room (I would like to share with the person listed below)
I would like...
*
24. My cycling shirt size is
*
Size guide to right of size (W-Women's dress size / M-Mens chest size). Size up for a looser fit or down for a tighter fit. Guide is available below.
25. Would you like to rent a bike?
*
Please select
NO
YES - A member of our team will be in touch
26. The make, model and value of the bike you will be riding on the challenge?
*
27. I would like to book my bike in for a service before the event?
*
Please select
NO
YES - a member of our team will be in touch
28. Insurance agreement (please check all boxes below)
*
29. GDPR Agreement (Privacy policy available below)
*
30. My consent
*
31. Terms & Conditions (available below)
*
32. I am happy for TFA Events to add me to the challenge WhatsApp group, using the number I entered above on this form. The group is a key way challenge information is shared.
*
