2015-2016 Regional Championship Bid Application
General
For Which Categories Are You Bidding? *
Required
Name of Your Race? *
Your answer
Anticipated Date of 2015 Your Race? *
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/
DD
/
YYYY
Time
:
2015 Race City *
Your answer
2015 Race State *
Your answer
Anticipated Date of 2016 Your Race?
MM
/
DD
/
YYYY
2016 Race City *
Your answer
2016 Race State *
Your answer
Website
Your answer
Facebook
Your answer
Twitter Handle
Your answer
Race Director Information
Race Director: First Name *
Your answer
Race Director: Last Name *
Your answer
Race Director: Email *
Your answer
Race Director: Phone 1 *
Your answer
Race Director: Phone 2
Your answer
Fax
Your answer
Is the race director USAT certified? *
Shipping Information
Address Line 1 *
Your answer
Address Line 2
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Attention of
Your answer
Race History
Number of athletes in 2012 Race? *
Your answer
Number of atheletes in 2013 Race? *
Your answer
Number of years race has been held? *
Your answer
Number of years race has been USAT sanctioned?
Your answer
Has this race hosted a championship race before? *
If this race has hosted a championship race in the past, specify which year(s)?
Your answer
Has this race been included in any USAT-MA series? *
If you answered "Yes" to the above question, what was the championship designation?
Your answer
Did the 2013 race have race officials?
If yes, how many race official did your event have?
Your answer
Is there any other information you'd like to include to inform the selection committee of the event?
Your answer
Would you like to have a member of the USA Triathlon Mid-Atlantic Council at your event?
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