2017 USA Cycling Reserved MTB World Cup Start Petition Use this form to petition for a National Team 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 Lourdes, France April 29-30 (DHI) Nove Mesto, Czech Republic May 20-21 (XCO) Albstadt, Germany May 27-28 (XCO) Fort William, United Kingdom June 3-4 (DHI) Leogang, Austria June 10-11 (DHI) Vallnord, Andorra July 1-2 (DHI/XCO) Lenzerheide, Switzerland July 8-9 (DHI/XCO) Mont-Sainte Anne, Quebec Canada August 5-6 (DHI/XCO) Val di Sole, Italy August 26-27 (DHI/XCO) Question Title 5. Select the category you would like to enter. DHI - Elite Men DHI - Elite Women DHI - JR Men DHI - JR Women XCO - Elite Men XCO - Elite Women XCO - U23 Men XCO - U23 Women 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