Temporary Clothing & Dietary Form

Clothing and Fitness

Your Name from Booking *

Email *

Your Trip

Cyclist or Non-Cyclist *

Occupation

Return Guest

Number of previous trips

Date of Birth *

Gender – Required for Rooming

Jersey Size

Bib Knick Size

Polo shirt Size

Average Distance per Week

Rides per week (last month)

Group rides per week

Hill rides per month (1000m Climbing)

Trip riding goal

Medical Conditions? *

Medical Conditions

Allergies? *

Allergies

Dietary Requirements? *

Dietary Requirements

Emergency Contact Name

Emergency Contact Relationship3

Emergency Contact Phone

Emergency Contact Email

TDU Products

Ride Distance

Your Average Riding Speed

Have you ridden in the Challenge Tour before?

Jersey Size (Bupa Challenge Tour Only)

TDU Extras