2019 UCI MTB World Cup Pre-Qualified Entry Request

Use this form to request entry to a Mountain Bike World Cup.

First Name

Last Name

Phone Number

Address

City

State

Zip Code

Emergency Contact Name

Emergency Contact Number

Date of Birth

Racing Age

USAC License Number

UCI 11 Digit Code

Team or Sponsor

Hotel Name

Address

City

Country

Zip Code

Hotel phone number (or your cell number if you are camping or renting a house)

If you have any questions contact Marc Gullickson at mgullickson@usacycling.org.