Expression of Interest for Cycling Ireland Programme of domestic activities for youths and junior riders

Cycling Ireland Programme of domestic activities for youths and junior riders.

The following form is an expression of interest to be included in a Programme of domestic activities for youths and junior riders.

This programme of activities will be delivered by Cycling Ireland’s High-Performance Unit to support young riders ongoing development throughout 2020. From Monday, August 3rd a weekly educational webinar will be delivered covering topics relevant to young athletes interested in progressing to an elite level.

This series of activities is open to riders of all disciplines and abilities aged 14 to 18 years.

To register, simply complete the form below. We will be in contact with further details via email closer to the time of the first webinar.

**Please note that all correspondence for applicants below the age of 18 will be through the parent or guardian included in this application.**

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* 1. Applicant's Name (Forename & Surname):

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* 2. Applicant's Date of Birth:

Date

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* 3. Applicant's age:

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* 4. Applicant's gender

Male

Female

Other

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* 5. Applicant's details:

City/Town

Country

Email Address

Phone Number

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* 6. Applicant's parent/guardian's details:

Name

City/Town

Country

Email Address

Phone Number

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* 7. What cycling discipline(s) do you train and compete in?

Road

Track

BMX

Off-Road DH

Off-Road Cyclocross

Other (please specify)

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* 8. What is the name of your current club or team?

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* 9. For athletes: I understand that where I am below the age of 18 that all communication will be made through the parent/guardian I have listed in this form.

Yes

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* 10. For Parents/Guardians of u18s: I hereby give consent for my son/daughter to be included and access the activities as part of this programme.

Yes