2024 Targeted Athlete Application 
Please ensure you read through the criteria posted here before submitting an application.
 
For your application to be considered complete the following need to be submitted to Tara (tara@cyclingbc.net) before January 20th, 2024.
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First Name *
Last Name *
Personal Email (Athletes Email) *
If you are under the age of 18, your parent/guardians email *
Date of Birth *
MM
/
DD
/
YYYY
Primary Discipline *
Primary Coaches Full Name *
Primary Coaches Email *
What Club/Team do you race/train with? *
Hometown *
2023 World Championship Results *
2023 Pan Am Games Results *
2023 National Championship results *
2023 Provincial Championship Results *
Did you attend a National Team Training Camp or Project in 2023? *
Did you suffer an injury or illness in 2023 that prevented you from competing at Worlds, Nationals, or Provincial Championships?
*
Please list up to five additional significant events attended and results (BMX should include NAG if applicable, BC Cup Series Overall, UCI Junior Nations Cup, UCI Sanctioned events, etc.)
*
Please include a list of races you are intending to attend in 2024.
*
Have you emailed Tara the following in order to complete your registration?
*
Required
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