2019 MTB Junior Development Race Camp Petition 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. Select Camp for consideration X-C Race Camp #1 – March. 28th-30th – Victoria, BC Canada Cup Race Camp (17-18 Junior Men & Women cross-country) X-C Race Camp #2 – May 24th- June 1st – Quebec Canada Cup Race Camp (17-18 Junior Men & Women cross-country) Question Title * 5. Current Race Results Question Title * 6. Enter any additional comments here. If you have any questions about the petition process, please contact Marc Gullickson at mgullickson@usacycling.org. Done