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Velosport Junior Team

Junior Cycling Team, California

Elite Team
Sponsors

Velosport Membership Application

General - Athlete Information

Athlete's Full Name *
Gender *
Date of Birth *
Athlete's Email If athlete does not have an email please leave this blank.
Athlete's Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Athlete's Phone If athlete does not have a phone please leave this blank.

General - Parent/Guardian Information

Please Note: For Athletes 16 and under: Please provide information for one primary parent or guardian contact. For Athletes 17 to 18: Please provide information for an emergency contact under the Parent/Guardian fields .
Parent/Guardian Full Name *
Parent/Guardian Email *
Parent/Guardian Phone *
Emergency Contact Only
For 18 and older members! Is the information provided ONLY for Emergency purposes? If so please select "Yes" and we wont include them on team notes.NoYes

Racing Information & History

USAC Licence Number If you do not have a USAC licence please leave blank.
USAC Road Category *If you do not have a USAC licence please select none.
Years of Racing Experience *

Discipline Priority/Focus

Instructions Please order the athletes priority/focus where 1 is the greatest focus and 6 is the lowest. If a rider does not focus on a particular discipline please select none.

Road *

Mountain

Triathlon
BMX
Cyclocross
Track
Goals *
Briefly describe what you would like Team Velosport Junior Development do help you with? (Goals within the road discipline or within other disciplines)
Other Sports *
Will you be racing or riding for other teams for other cycling disciplines? Participating in other sports or a school sport? Please list the teams and/or sports here as well as the time frame that you will be involved in these sports. This helps us know when you will be available to ride and race on the road!
Coaching Do you have a cycling coach? If so, who? If not please leave blank.
What Programs Interest You?
Check all that apply.Team RidesTeam CampVelosport Junior Elite TeamVelosport U23 TeamVelosport Europe TripTrack DaysRacesUSAC Development CampsUSAC Nationals

Best Ways For Communication?

What means of communication is best? *
Check all options that you or your parent/guardian prefer. NOTE: We primarily communicate via a private facebook groupEmail - AthleteEmail - ParentText Message - AthleteText Message - ParentFacebook Message - AthleteFacebook Message - Parent
Facebook Account Please give us the URL to your Facebook page. We can then add you to our private Facebook group. We use this for communication purposes frequently. If you would like to have us add more than one URL (Athlete, parent(s)) please comma separate multiple URLs!

Payment

Completing Your Payment After pressing "Submit" below, you will be redirected to the membership payment page. After selecting "Check Out", please add the Athlete or Athletes' name(s) to the "Order Note's" Section. This will help us track the payment to the correct athlete.

Volunteering

Parent / Junior Volunteers Needed! Are you and/or your parent willing to volunteer to assist the team in roles such as Social Media, Communications, Photography, Event planning, Coaching, etc.?

Verification

Please enter any two digits to prove you are human! *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:

Step 2: Submit payment via Venmo
Please scan the QR code below and include the athlete’s name in the payment note.

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