2017/18 UCI Cyclo-Cross World Cup Start Petition Use this form to petition for a World Cup start. Question Title 1. Name First Name Last Name Question Title 2. Contact Information Phone Number Email Address City State Zip Code Emergency Contact Name Emergency Contact Number Question Title 3. Racing Information Date of Birth Racing Age USAC License Number UCI 11 Digit Code Team or Sponsor Question Title 4. Event for consideration Iowa City, USA September 17, 2017 Waterloo, USA September 24, 2017 Koksijde, Belgium October 22, 2017 Bogense, Denmark November 20, 2017 Zevem, Germany November 25, 2017 Namur, Belgium December 17, 2017 Heusden-Zolder, Belgium December 26, 2017 Nommay, France January 21, 2018 Hoogerheide, Netherlands January 28, 2018 Question Title 5. Select the category you would like to enter. Elite Men Elite Women U23 Men (excluding Iowa City and Waterloo) JR Men (excluding Iowa City and Waterloo) Question Title 6. Current Race Results Question Title 7. Current National Ranking Question Title 8. Current UCI Ranking Question Title 9. Enter any additional comments here. If you have any questions about the petition process or USAC reserved start spots, please contact Marc Gullickson at mgullickson@usacycling.org. Done