Victorian Open XCountry Team Nomination
First Name *
Your answer
Last Name *
Your answer
Club *
Your answer
Email *
Your answer
Mobile Number *
Your answer
Placing at 2015 Victorian XCountry Championshiips- Bundoora *
Your answer
If you did not run the 2015 Victorian XCountry Championship please explain your absence
Your answer
Placing at XCR15 Lardner Park *
please list DNC if you did not compete
Your answer
Placing at XCR15 Ballarat *
please list DNC if you did not compete
Your answer
Previous Victorian XCountry Teams *
Required
Please list your likely racing schedule between now and the National Cross Country Championships on Saturday 29 August *
Your answer
Please list any other 2015 form you would like the selectors to consider *
Your answer
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