ENGLISH CHANNEL RELAYS 2021

Your Name (required)

Your Surname (required)

Your Age (required)

Your Date of Birth (required) day, month and year, for example 14031982

Your Address (required)

Your Email (required)

Your Mobile Number (required) (add international dialing code, for example 0044)

NEXT OF KIN

Name & Surname (required)

Your Telephone Number (required) (add international dialing code, for example 0044)

Please submit a short piece on your swimming experiences, both open water and pool swimming:
Time/Distance/Hours a Week/Swim Events

BY SUMBITTING THIS APPLICATION FORM I AGREE THAT I HAVE:

a) provided The Alexa Trust with accurate and up to date PERSONAL INFORMATION (required)
Personal Information

b) read and fully understand the TERMS AND CONDITIONS detailed in the link below (required)
Terms & Conditions

c) looked at and agree to the PRICING STRUCTURE detailed in the link below (required)
Personal Information