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* 1. Address

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* 2. What is your birthdate?

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* 3. Check the box for any competitive events you have completed within the last year

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* 4. What are your three most important training goals for 2018 (for example, improve my hill climbing)?

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* 5. What type of bike racing have you done?

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* 6. What has prevented you from participating in a bike race in the past? Check all that apply.

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* 7. How many weekly hours do you have available to train.

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* 8. Rate the limiters/skills below

  no confidence  slightly confident  somewhat confident very confident
Endurance (long, moderate pace riding)
Force (climbing, sprinting)
Bike Handling
Pack riding
Drafting

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* 9. What types of bikes do you own?

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* 10. Please add any other items you think are important for your application

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