TWP 2018 Cycling Camp Registration
Please complete the form with your information below. All responses will be kept confidential. Once your registration is received you will be prompted to submit your payment online at http://trainingwithpotter.com/store/.
First & Last Name *
Your answer
Email *
Your answer
Cell Phone *
Your answer
In case of emergency contact (Name, Relationship, Phone Number) *
Your answer
Accommodations at Viva Tropic in Alcudia *
Date of arriving flight into Palma *
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Time of arriving flight into Palma *
Time
:
Arrival flight information (airline & flight #) *
Your answer
Date of departing flight from Palm *
MM
/
DD
/
YYYY
Time of departing flight from Palm *
Time
:
Departing flight information (airline & flight #) *
Your answer
Do you require bicycle hire in Mallorca *
How experienced are you riding in a group? *
I've never rode in a group
Im a pro
Are you currently under the care of a physician or taking any medications? If yes, please explain.
Your answer
Any known allergies? Include food allergies.
Your answer
Jersey Size
XS
S
M
L
XL
XXL
Men's
Women's
Bib Size
XS
S
M
L
XL
XXL
Men's
Women's
I have read and agree to TWP policies http://trainingwithpotter.com/twp-policies/ *
Required
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