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* 1. Entry Details

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* 2. Personal Details

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* 3. Please check the boxes of the role/s you are interested in:

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* 4. Previous Experience

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* 5. Medical / Physio Information

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* 6. Emergency contact details while at races.

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* 7. I understand I will also need to provide copies of the following:
- International Licence
- International Travel and Race Insurance
- Passport
These are to be emailed to: tracey.herbert@cyclingnewzealand.nz

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* 8. I understand that I will be provided with a copy of the Cycling New Zealand Code of Conduct updated 01 October 2018 either directly or via the Cycling New Zealand website.
Code of conduct

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