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
*
Support team role
Medical professional
Qualified mechanic
Support team member
Cycling guide
Driver
Photographer
Other (please list below)
6. Date of birth
MM
DD
YYYY
7. Emergency contact name
*
8. Emergency contact number
*
9. Passport Number (Please ignore if you are only doing UK rides)
10. Passport expiry date (Please ignore if you are only doing UK rides)
*
11. Passport country of issue (Please ignore if you are only doing UK rides)
*
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 rent a bike?
*
Please select
NO
YES - A member of our team will be in touch
21. The make, model and value of the bike you will be riding on the challenge?
*
22. Have you had any First Aid Training?
*
Whilst it's not necessary for all the Support Team to have First Aid Training it is really useful for us to know who does have knowledge of First Aid.
23. Have you received Manual Handling training within the last two years?
*
If you haven't received this training recently TFA Events will ask you to watch a short video prior to your ride/s.
24. My contact details
*
25. Insurance agreement (please check all boxes below)
*
26. GDPR Agreement (Privacy policy available below)
*
27. Terms & Conditions (available below)
*
