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* 1. Are you a New Zealand Citizen? *

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* 2. Personal Details

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* 3. Entry Details

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* 4. Are you applying for a supplementary entry?

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* 5. If you are applying for a supplementary entry please list your 2020/2021 results.

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* 6. All riders granted a supplementary entry must wear NZ team clothing.  Please supply the following information:

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* 7. MTB WC entries you wish to enter

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* 8. Please provide accommodation details, otherwise please email details to offroadadmin@cyclingnewzealand.nz once booked.

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* 9. Emergency Contact Details while overseas

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* 10. I understand I will also need to provide copies of the following:
- Passport
- Travel Insurance
- TUE for medication (only if needed)
These are to be emailed to: offroadadmin@cyclingnewzealand.nz

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* 11. I have read and understood the ‘International Event Entry’ process (found on https://www.cyclingnewzealand.nz/covid-19/), I am aware of the requirements, and I agree that if selected, my selection is conditional on this application being completed by myself and accepted by Cycling New Zealand.

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* 12. When the Cycling New Zealand General Risk Assessment for the event/s I have selected is available, I will read, understand and accept any associated risk of attending the events.

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* 13. Declaration: I understand that by submitting this Entry Form I agree to comply with and be bound by the rules and regulations of Cycling New Zealand and the UCI. In particular I have read and understood the 2021 MTB World Cup Entry Information. I also understand that, if granted a supplementary entry, I will be required to sign an Athlete Agreement with Cycling New Zealand. I acknowledge that I will be representing New Zealand and need to conduct myself appropriately.'

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* 14. If the rider is under the age of 18 years as at the date of completing this form, the form must also be completed by the parent(s)/guardian(s) of the rider in the space provided below.

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