Athlete Interest & Eligibility Survey
Full Name
*
Email
*
Phone
*
Current Age
*
Select Range
Current Bicycle Make & Model
*
Current School/University/College/N/A
*
If under 18, has a parent or legal guardian discussed and approved this interest?
*
Select One
Declaration & Consent
*
By submitting this form, I confirm that the information provided is accurate. I consent to EVO Exercise Science and Prime Bunch EVO collecting, processing, and storing my personal information, as well as my parent or guardian’s information where applicable, in accordance with POPIA (South Africa). I understand that the programme may contact my parent or guardian to discuss my application and next steps. I also understand that submission does not guarantee acceptance into the programme.