UCI Cyclo-Cross World Cup - Lodging/Staff Information

Complete this survey so USA Cycling can register you for the UCI Cyclo-Cross World Cup.

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1. Rider Contact Information

First Name

Last Name

USAC Lic #

11 Digit UCI Code

Birthday

Phone Number

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2. Choose the event below:

Waterloo, USA - September 23, 2018

Iowa City, USA - September 29, 2018

Bern, Switzerland - October 21, 2018

Tabor, Czech Repubic - November 17, 2018

Koksijde, Belgium - November 25, 2018

Namur, Belgium - December 23, 2018

Heusden-Zolder, Belgium - December 26, 2018

Pont-Chateau, France - January 20, 2019

Hoogerheide, Netherlands - January 29, 2019

In order for USA Cycling to register you for the event with the UCI, we need the information for the hotel, condo, or private residence where you will stay during the event. USA Cycling will not be able to assist anti-doping in locating off-site riders and cannot be held responsible for any rider that cannot be located by the UCI for doping controls.

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3. Housing Information For Above Event

Hotel Name

Hotel Address

Hotel Website

Hotel Phone

Rider Cell Phone

In order for your support team to be credentialed at CX World Cup events we will need to provide the license numbers and images of your staff's license to the UCI. Each rider is allowed two mechanics and one Swani/physio. The mechanics will receive pit zone credentials and the swani/physio will receive start-finish line credentials. All staff must hold a license from their national cycling federation and any license will work. It can be a racing license or an official mechanic or swani license. If you have team-mates who are using the same staff members as you and you can be sure that they have provided this information already then it is fine to just fill in the staff names below and make a note of this in the final comments box.

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4. Staff Information

Mechanic #1 - Name and license number

Mechanic #2 - Name and license number

Swany - Name and license number

Please upload copies of your staff licenses at the link below.
Rename each file with the name of the mechanic or swany in file name.
You can upload multiple files at once by clicking add file in the window.

https://www.dropbox.com/request/BCDRh3BIqX2nXopnZdRT

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5. Enter any additional comments here.

Thank you for confirming your information. If you have any questions, please contact Marc Gullickson at mgullickson@usacycling.org.