Athlete Application

Athlete info

Name*

First Last

Contact number*

Identitiy Number*

Email address*

Twitter

CSA License number*

Race Tech number

SAS number

Roag number

Medical Aid*

Medical Aid Number*

Emergency contact*

First Last

Emergency contact number*

Do you have a valid passport?*

YES
NO

General Cycling perceptions

What are your perceived strengths?*

What are your perceived weaknesses?*

Sporting info

Do you have a conditioning coach?

YES
NO

Name

First Last

Contact email

Level of Accreditation

Do you have a skill coach?

YES
NO

Name

First Last

Your Team’s Details

Contact email

Level of Accreditation

Are you sponsored?

YES
NO

Your Sponsors’ Details

Body weight

Body comp (if possible)

Lean muscle percentage

Body fat percentage

Water percentage

Average Watts

Max Watts

Height

Inseam

Do you have current or past injuries?

YES
NO

If YES, please specify

Additional info

List your A,B and C priority goals for 2019

Who would you say is your goal competitor for 2019? (Someone who you would really like to beat)

List your best results for 2018

What is your long term/dream goal?

What equipment do you think would help you achieve your goals?

What road, mtb and track bike brand do you own? What size are they?

Who is your sporting hero?

Clothing info

Cycling shirt

Cycling shorts

TT suit

Jacket

Arm warmers

Leg warmers

Sidi Shoes

Rudy Project Helmet

Gloves

Compression pants/socks

Casual shirt

Casual shorts

Casual jacket size

Athlete info

General Cycling perceptions

Sporting info

Additional info

Clothing info

Contact Details

Quick Links

Follow Us

Official Distributor of HEAD Bicycles SA