Team Membership Application

Help us get to know you!

Once you have submitted your application, you will receive a confirmation email. Your information will then be reviewed and you will be contacted by a team member. Once approved as a member, you will receive a second email confirming your approval. You will then be able to enter the members-only area of our site where you can pay your annual team membership dues, as well as purchase branded team apparel and accessories.

Your Personal Details

First name:

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Last name:

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Gender

Male Female

Date of birth

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Email:

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Confirm email:

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Phone:

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Your Address

Street address:

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Street address 2:

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Zip / postal code:

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City:

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Country:

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State / province:

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Your Emergency Contact Information and Race Category Designation

Emergency Contact Name (First and Last):

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Emergency Contact Phone:

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Emergency Contact Realtionship:

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Parent / Guardian Name (if under 18):

Parent / Guardian Phone (if under 18):

USA Cycling Race Category:

Your Password

Password:

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Confirm password:

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User agreement