2018 UCI MTB World Cup Pre-Qualified Entry Request Use this form to request entry to a Mountain Bike World Cup. 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. Current UCI ranking points (For XCO riders must have 20 UCI points and for DH riders must have 40 UCI points) Question Title * 5. Select Event Below Stellenbosch RSA World Cup XCO, March 10, 2018 Losinj CRO World Cup DHI, April 21-22, 2018 Albstadt GER World Cup XCO/XCC, May 18-20, 2018 Nove Mesto na Morave CZE World Cup XCO/XCC. May 25-27, 2018 Fort William GBR World Cup DHI, June 2-3, 2018 Leogang AUT World Cup DHI, June 9-10, 2018 Val di Sole ITA World Cup XCO/XCC/DHI, July 6-8, 2018 Vallnord AND World Cup XCO/XCC/DHI, July 13-15, 2018 Mont-Sainte-Anne CAN World Cup XCO/XCC/DHI, August 10-12, 2018 La Bresse FRA World Cup XCO/XCC/DHI, August 24-26, 2018 Question Title * 6. Select the category you would like to enter. DHI - Elite Men DHI - Elite Women DHI - Junior Men DHI - Junior Women XCO - Elite Men XCO - Elite Women XCO - U23 Men XCO - U23 Women Question Title * 7. Event Lodging Information - enter camping location or Air B&B address if you are not staying in a hotel Hotel Name Address City Country Zip Code Hotel phone number (or your cell number if you are camping or renting a house) Question Title * 8. Enter any additional comments here. If you have any questions contact Marc Gullickson at mgullickson@usacycling.org. Done