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. Do you have any dietary requirements/food allergies?
*
Please Select
YES (Please provide details below)
NO
10. Do you have any non-food allergies and/or conditions?
*
Please select
YES (Please provide detail below)
NO
11. Do you have any recurring joint or back problems?
*
Please select
YES (Please provide details below)
NO
12. Do you have any medical conditions (Asthma, Epilepsy, Angina, High Blood Pressure etc)
*
Please select
YES (Please provide details below)
NO
13. Do you have any medial allergies? (Penicillin etc)
*
Please select
YES (Please list details below)
NO
14. Are you taking or require any medication?
*
Please select
YES (Please list details below)
NO
15. Is there anything else you wish to let us know?
*
Please select
YES (Please add detail below)
NO
16. Medical consent
*
18. Premier Inn Hotel, Sandown (03 & 04 July 2024)
*
Please select the type of room you would like
Single occupancy room (subject to availability and additional charges apply from £179 per night)
Shared twin room (I do not mind who I share with)
Shared twin room (I would like to share with person listed below)
I would like...
*
20. 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.
21. Would you like to rent a bike?
*
Please select
NO
YES - A member of our team will be in touch
22. 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
23. Insurance agreement (please check all boxes below)
*
24. GDPR Agreement (Privacy policy available below)
*
25. 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.
*
26. My consent
*
27. Terms & Conditions (available below)
*
