LGBRC Elite Women Guest Rider Application
Application open to elite women (categories 1 & 2) with highest priority given to riders from the NCNCA.
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Name *
First and last name
Email *
Phone number *
Home Racing District *
Racing Category *
USAC License Number *
If Cat 3, please briefly explain your situation and your expected time of upgrade.
Coach's name & contact
What is your 1st choice event? *
What is your 2nd choice event? *
What is your 3rd choice event? *
What is your 4th choice event? *
What is your 5th choice event? *
If there is anything you'd like us to know about the above races, please discuss your concerns here.
Briefly list your racing history. *
How will you give back to the cycling community if given this opportunity? *
How are you looking to develop as a cyclist both in the short and long term? *
How would you bring benefit to and benefit from being on a team? *
Do you have any medical conditions that could preclude you from racing? *
If applicable, submit a race resume here.
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