Please submit your interest in being targeted again for the 2021/2022 cycle. Please note, all athletes targeted in 2020/2021 are automatically eligible for targeting for 2021/2022.

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1. First Name

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2. Last Name

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3. Your personal email

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4. If you are under the age of 18, your parent/guardians email

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5. Date of Birth

Date

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6. Primary Cycling Discipline

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7. Primary Coach's Full Name

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8. Primary Coach's Email 

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9. Hometown

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10. 2019 World Championship Result

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11. 2019 National Championships Result

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12. 2019 Provincial Championship Result

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13. Did you attend a NextGen or National Team training camp or race project in 2019?

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14. Did you suffer an injury or illness in 2019 that prevented you from competing at Worlds, Nationals, or Provincial Championships?

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