Team Velosport 2018 JUNIOR Membership Application
We are very excited you are choosing Team Velosport Junior & U23 Development. It is now easier than ever to sign up! Please answer all questions below. Once you have submitted this application, you will be transferred to the team store where you'll be able to pay for membership and order your team gear. If there is more than one junior in your family, please fill out a separate form for each.

For Athletes 18 and under: Please provide the additional information requested for one primary parent or guardian contact.

For Athletes 19 to 22: Please provide information for an emergency contact under the Parent/Guardian fields .

Athlete's Full Name *
Your answer
Gender *
Date of Birth *
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How old are you? *
Your answer
Athlete's Email *
Your answer
Athlete's Phone
Your answer
Athlete's Street Address *
Your answer
Apt, Suite, Bldg.(optional)
Your answer
City *
Your answer
State *
Your answer
Postal/Zip Code *
Your answer
Parent/Guardian 1 Full Name *
Your answer
Parent/Guardian 1 Email *
Your answer
Parent/Guardian 1 Phone *
Your answer
Parent/Guardian 2 Full Name
Your answer
Parent/Guardian 2 Email
Your answer
Parent/Guardian 2 Phone
Your answer
Athlete's USAC License Number-Leave blank if you do not have one.
Your answer
USAC Road Category *
Years of Racing Experience *
Your answer
Please select the sport below that will be your priority/Focus for the year. If a rider does not focus on a particular discipline, please select none. *
Please select an alternate cycling discipline you might also want to try this season. *
Goals: Briefly describe what you would like Team Velosport Junior Development to help you with? (Goals within the road discipline or within other disciplines) *
Your answer
Will you be racing or riding for other teams for other cycling disciplines? Participating in other sports or a school sport? Please list the teams and/or sports here as well as the time frame that you will be involved in these sports. This helps us know when you will be available to ride and race on the road! *
Your answer
Do you have a cycling coach? If yes, who? If no, please leave blank.
Your answer
Which programs interest you?
Which means of communication is best? Please check all options that you or your parent/guardian prefer. NOTE: We primarily communicate via a private facebook group.
Facebook Account: Please provide us with the URL to your FB page so that we can add you to our private FB group. We use this for communication purposes frequently. If you would like to have us add more than one URL, please separate with a comma.
Your answer
Instagram Account: Please provide us with your Instagram account name.
Your answer
Volunteering- Are you or your parent willing to volunteer or assist the team in roles such as Social media, Communications, Photography, Event planning, Coaching, etc?
Your answer
Do you have more than one family member joining Team Velosport? If yes, you will need to complete this form, submit, then resubmit an entire new form for each family member. Please make sure to fill out the correct form for each member(Junior or Adult).
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