2018/19 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 Waterloo, USA, September 23, 2018 Iowa City, USA, September 29, 2018 Bern, Switzerland, October 21, 2018 Tabor, Czech Republic, November 17, 2018 Koksijde, Belgium, November 25, 2018 Namur, Belgium, December 23, 2018 Heusden-Zolder, Belgium December 26, 2018 Pont-Chateau, France, January 20, 2019 Hoogerheide, Netherlands, January 27, 2019 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