Name*

Date of Birth*

Email Address*

Phone Number

Country of Residence*

Nationality (as on passport)*

What do you currently ride?*

How many years have you been riding?*

Do you hold a full, unrestricted bike licence?* Do you hold a full, unrestricted bike licence?* Yes No

Are you likely to ride your own bike or one of ours?* Are you likely to ride your own bike or one of ours?* Riding one of your bikes (Honda CRF) Riding own bike Not decided yet

Are you keen to join the next trip, or just want to stay in the loop for now? Are you keen to join the next trip, or just want to stay in the loop for now? Want to join the trip Just want to stay in the loop

What excites you most about the Paris-Dakar Challenge? (optional) What excites you most about the Paris-Dakar Challenge? (optional) Doing something completely different to normal life Seeing wild, remote places few ever see Testing myself and getting out of my comfort zone for a bit Solving problems, not being waited on The cameraderie of being part of a small, supportive team Coming home with great stories, not just photos Never done anything like this — but up for the challenge!

Any other information or questions? (optional)