FURTHER INFORMATION Further Information Form Clinics Further Information Form Clinics If you are human, leave this field blank. Your name: * Your e-mail address * Your contact number (mobile preferred): * Current age: * If known please provide one or more swim times below - 400 metre time, 200 metre time, 100 metre time: Emergency contact name: If you are travelling with a partner please specify a different person * Emergency contact relationship to you: * Emergency contact phone number: * Any medical history we should know about? * We provide Challenge Tri Camp kit (tried and tested by our coaches) which can be purchased before you travel or on arrival at camp. Check our kit out HERE. Are you interested in purchasing Challenge Tri Camp training kit? * Yes No Short sleeve jersey (ladies) - £50: Please select a size Extra small Small Medium Large Extra large Short sleeve jersey (mens) - £50: Please select a size Extra small Small Medium Large Extra large Long sleeve jacket (ladies) - £70: Please select a size Extra small Small Medium Large Extra large Long sleeve jacket (mens) - £70: Please select a size Extra small Small Medium Large Extra large Cycle shorts (ladies) - £50: Please select a size Extra small Small Medium Large Extra large Bib shorts (mens) - £55: Please select a size Extra small Small Medium Large Extra large Gillet (ladies) - £40: Please select a size Extra small Small Medium Large Extra large Gillet (mens) - £40: Please select a size Extra small Small Medium Large Extra large Tri suit (ladies) - £85: Please select a size Extra small Small Medium Large Extra large Tri suit (mens) - £85: Please select a size Extra small Small Medium Large Extra large Tri Suit with sleeves (unisex) - £105: Please select a size Extra small Small Medium Large Extra large Socks (unisex) - £12: 40-42 43-45 Caps (unisex) - £15: Please select a size Medium Hoodie (unisex) - £35: Please select a size Extra small Small Medium Large Extra large Special offer - Buy a jersey and shorts along with a third item and get 10% off the total price. How would you like to receive your kit? Delivery prior to arrival Collection at clinic If any, what events/races do you have coming up? Please let us know which one(s): Are you in a club? * Yes No Club name: Anything you need to know or want to ask?
