2009 USA Cycling Athlete Development Camp Registration Form
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1. 2009 USA Cycling Athlete Development Camp Registration
This is the registration for the Athlete Development Camp programs for 2009. This form is for 2009 camp participants that have already registered and paid for their camp through the USA Cycling website. If you have not yet registered for a camp through the website, please close this survey and go back to the "view available camps" link on your MYUSACycling homepage.
Please be sure to answer all questions. When you are finished, please click "done" at the bottom.
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1
. What is your name?
What is your name?
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2
. What is your USA Cycling license number?
What is your USA Cycling license number?
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3
. What is your current email address? If this email address is different from the one in the USA Cycling membership database, please go to the MY USACYCLING function of the USAC website and update your email information.
What is your current email address? If this email address is different from the one in the USA Cycling membership database, please go to the MY USACYCLING function of the USAC website and update your email information.
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4
. What is your sex?
What is your sex?
Male
Female
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5
. For which regional development camp are you registering?
For which regional development camp are you registering?
South-Central Road Camp, Texas Tech, Lubbock, TX June 7-12
South-East Road Camp, Furman U, Greenville, SC June 7-12
North-West Road Camp, Pacific University, Forest Grove, OR June 14-19
Mid-Atlantic Road Camp, DeSales University, Center Valley, PA, June 14-19
North-Central Road Camp, UW-Lacrosse, Lacrosse, WI, June 21-26
West Coast Road Camp, St. Mary's College, Moraga CA, June 21-26
South-West Road Camp, Northern Arizona U, Flagstaff, AZ June 21-26
Mid-South Road Camp, St. Mary's Sewanee, Sewanee, TN June 21-26
Rocky Mountain Road Camp, Colorado College, Colorado Springs, CO, June 24-29
Rocky Mountain XC MTB Camp, Colorado College, Colorado Springs, CO June 14-19
New England XC MTB Camp, Catamount Camp, Williston, VT June 14-19
South-East XC MTB Camp, Terra Nova Center, Cedar Mountain, NC June 22-27
Mid-West Regional Track Camp, Marian College, Indianapolis, IN June 21-26
Undecided
Comment?
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6
. What will be your chronological age on the first day of the camp?
What will be your chronological age on the first day of the camp?
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22
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7
. What are your USACycling Racing Categories?
N/A
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2
3
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5
Pro
A
B
C
D
Road
What are your USACycling Racing Categories? Road N/A
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2
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5
Pro
A
B
C
D
Track
Track N/A
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2
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Pro
A
B
C
D
MTB (XC)
MTB (XC) N/A
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Pro
A
B
C
D
Collegiate
Collegiate N/A
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2
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Pro
A
B
C
D
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8
. Please list your top three (3) race results from the past 12 months. Please be sure to include the race discipline, race name, date, location, category entered, and final placing. For consistent formatting, please adhere to the formatting in the following example: Road Race, Sea Otter Classic, April 20, 2008, Monterey CA, Junior 17/18, 3rd.
Please list your top three (3) race results from the past 12 months. Please be sure to include the race discipline, race name, date, location, category entered, and final placing. For consistent formatting, please adhere to the formatting in the following example: Road Race, Sea Otter Classic, April 20, 2008, Monterey CA, Junior 17/18, 3rd.
#1
#2
#3
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. If you have a coach, please give his/her name. If you do not have a coach, just leave the box blank.
If you have a coach, please give his/her name. If you do not have a coach, just leave the box blank.
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. If you have a coach, please provide the coach's email address. USA Cycling may contact the coach.
If you have a coach, please provide the coach's email address. USA Cycling may contact the coach.
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11
. What are three things you are hoping to get out of this camp?
What are three things you are hoping to get out of this camp?
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2
3
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12
. How many hours do you ride in a typical week?
How many hours do you ride in a typical week?
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13
. What is your average (in season) training week like? Be sure to note daily hours and any other relavant information (race days, group training days, recovery days, etc.)
What is your average (in season) training week like? Be sure to note daily hours and any other relavant information (race days, group training days, recovery days, etc.)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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14
. Do you currently own and train with a powermeter? If so, what kind?
Do you currently own and train with a powermeter? If so, what kind?
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15
. How and when did you begin bicycle racing?
How and when did you begin bicycle racing?
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16
. What are your long-range cycling goals?
What are your long-range cycling goals?
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17
. What are your goals for the 2008 racing season?
What are your goals for the 2008 racing season?
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18
. What are your favorite kinds of races and what types of races do you do best in?
What are your favorite kinds of races and what types of races do you do best in?
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19
. What area of cycling do you think you need the most help with?
What area of cycling do you think you need the most help with?
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20
. Do you take any supplements? if so, what?
Do you take any supplements? if so, what?
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21
. Do you participate in other sports?
Do you participate in other sports?
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22
. Do you have any other hobbies?
Do you have any other hobbies?
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23
. Is there anything else you would like to add?
Is there anything else you would like to add?
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24
. What is your jersey size?
What is your jersey size?
Extra Small
Small
Medium
Large
Extra Large
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