UCI Junior MTB Series Race Start Petition 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. UCI Junior Series Race for conideration Question Title * 5. Current Race Results Question Title * 6. Enter any additional comments here. If you have any questions about the petition process, please contact Marc Gullickson at mgullickson@usacycling.org. Done