2019 UCI BMX Race World Championships Discretionary Athlete Nomination

Use this form to petition for the 2019 UCI BMX World Championships
July 23-28, 2019 - Heusden-Zolder, Belgium

First Name

Last Name

Phone Number

Address

City

State

Zip Code

Emergency Contact Name

Emergency Contact Number

Date of Birth

USAC License Number

UCI 11 Digit Code

Team Sponsor

Elite Men - BMX Race

Elite Women - BMX Race

Junior Men - BMX Race

Junior Women - BMX Race

Coach Name

Coach Email

Coach Phone Number

If you have any questions about the petition process, please contact Scott Schnitzspahn at sschnitzspahn@usacycling.org.